| William N. Katkov, M.d., Inc. | |
|
2001 Santa Monica Blvd Suite 360w Santa Monica CA 90404-2102 | |
| (310) 453-1871 | |
| (310) 453-1871 |
| Full Name | William N. Katkov, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2001 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | John Manning (ADMINISTRATOR) |
| Authorized Official Contact | 3104531871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William N. Katkov, M.d., Inc. 2001 Santa Monica Blvd Suite 360w Santa Monica CA 90404-2102 Ph: (310) 453-1871 | William N. Katkov, M.d., Inc. 2001 Santa Monica Blvd Suite 360w Santa Monica CA 90404-2102 Ph: (310) 453-1871 |
| NPI Number | 1356451553 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356451553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G54468 (California) | Primary |
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