Provider Demographics
NPI:1700886777
Name:KATZ, FRANK ALON (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:ALON
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9911 W PICO BLVD
Mailing Address - Street 2:#1430
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-2703
Mailing Address - Country:US
Mailing Address - Phone:310-284-8500
Mailing Address - Fax:310-284-8588
Practice Address - Street 1:9911 W PICO BLVD
Practice Address - Street 2:#1430
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2703
Practice Address - Country:US
Practice Address - Phone:310-284-8500
Practice Address - Fax:310-284-8588
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA854152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00143031OtherRAILROAD MEDICARE
CA00A854151Medicaid
P00143031OtherRAILROAD MEDICARE
CA00A854151Medicaid