Provider Demographics
NPI:1801498902
Name:KATZ, ERICA JOSEPHINE (DDS)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:JOSEPHINE
Last Name:KATZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7837 OCEANUS DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2042
Mailing Address - Country:US
Mailing Address - Phone:310-945-9945
Mailing Address - Fax:
Practice Address - Street 1:11600 WILSHIRE BLVD STE 316
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1783
Practice Address - Country:US
Practice Address - Phone:310-444-4977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1057491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty