Provider Demographics
NPI:1861466682
Name:KATZ, STANLEY G (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:G
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16702 VALLEY VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-5824
Mailing Address - Country:US
Mailing Address - Phone:714-367-5310
Mailing Address - Fax:714-533-3712
Practice Address - Street 1:1717 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-4345
Practice Address - Country:US
Practice Address - Phone:714-635-2642
Practice Address - Fax:714-533-3712
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG49280207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG49280MMedicare PIN
CAAR039YMedicare PIN
CAWG49280KMedicare PIN
CAAR039ZMedicare PIN
CAA51318Medicare UPIN
CAWG49280IMedicare PIN