Provider Demographics
NPI:1740328905
Name:HOLTZMAN, WENDY KATZ (RD, CDE)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:KATZ
Last Name:HOLTZMAN
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6520 PLATT AVE
Mailing Address - Street 2:SUITE 456
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3218
Mailing Address - Country:US
Mailing Address - Phone:818-836-6077
Mailing Address - Fax:818-301-5143
Practice Address - Street 1:7345 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 420
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1910
Practice Address - Country:US
Practice Address - Phone:818-836-6077
Practice Address - Fax:818-301-5143
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00715813133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABS121ZMedicare PIN