Katz, Mitchell Haven

Katz, Mitchell Haven is an individual health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Katz, Mitchell Haven can be contacted via phone (714) 289-4099.

Contact Information

Primary practice address
455 S Main St Orange CA 92868-3835
Fax: (714) 516-4299
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X G46842 California

Profile Details

NPI number 1366530107
LBN Legal business name Katz, Mitchell Haven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366530107 NPPES
California MEDICAID 00G468420

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