Provider Demographics
NPI:1760473797
Name:KATZMAN, BARRY ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:ALLAN
Last Name:KATZMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6945 EL CAJON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-1754
Mailing Address - Country:US
Mailing Address - Phone:619-697-4600
Mailing Address - Fax:619-464-5526
Practice Address - Street 1:6945 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-1754
Practice Address - Country:US
Practice Address - Phone:619-697-4600
Practice Address - Fax:619-464-5526
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2013-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA34834207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0708860001Medicare NSC