Provider Demographics
NPI:1295201382
Name:KATCEF, DAVID (ND)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:KATCEF
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 NEWPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-1711
Mailing Address - Country:US
Mailing Address - Phone:949-432-7878
Mailing Address - Fax:949-800-8099
Practice Address - Street 1:2216 NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-1711
Practice Address - Country:US
Practice Address - Phone:949-432-7878
Practice Address - Fax:949-800-8099
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1024175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath