Provider Demographics
NPI:1437557055
Name:KATZIN, DAVID BRANDEIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRANDEIS
Last Name:KATZIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10102 EMPYREAN WAY
Mailing Address - Street 2:302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-3825
Mailing Address - Country:US
Mailing Address - Phone:310-552-9368
Mailing Address - Fax:310-552-4656
Practice Address - Street 1:10102 EMPYREAN WAY
Practice Address - Street 2:302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-3825
Practice Address - Country:US
Practice Address - Phone:310-552-9368
Practice Address - Fax:310-552-4656
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-13
Last Update Date:2014-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG45342208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice