Provider Demographics
NPI:1184720468
Name:VATZ, ARTHUR D (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:D
Last Name:VATZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8510 BALBOA BLVD 150
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-5810
Mailing Address - Country:US
Mailing Address - Phone:818-637-2000
Mailing Address - Fax:818-654-3417
Practice Address - Street 1:191 S BUENA VISTA ST
Practice Address - Street 2:SUITE 235
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4504
Practice Address - Country:US
Practice Address - Phone:818-524-2003
Practice Address - Fax:818-524-2807
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2015-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG15232208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A33068Medicare UPIN
CADB068ZMedicare PIN