Provider Demographics
NPI:1750305991
Name:KATZ, LINDA SUE (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:SUE
Last Name:KATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7230 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1907
Mailing Address - Country:US
Mailing Address - Phone:818-346-5000
Mailing Address - Fax:818-346-4855
Practice Address - Street 1:7230 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 204
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1907
Practice Address - Country:US
Practice Address - Phone:818-346-5000
Practice Address - Fax:818-346-4855
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2011-08-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG48575207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92832Medicare UPIN