Basic Information
Provider Information
NPI: 1184720468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VATZ
FirstName: ARTHUR
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8510 BALBOA BLVD 150
Address2:  
City: NORTHRIDGE
State: CA
PostalCode: 913255810
CountryCode: US
TelephoneNumber: 8186372000
FaxNumber: 8186543417
Practice Location
Address1: 191 S BUENA VISTA ST
Address2: SUITE 235
City: BURBANK
State: CA
PostalCode: 915054504
CountryCode: US
TelephoneNumber: 8185242003
FaxNumber: 8185242807
Other Information
ProviderEnumerationDate: 09/15/2006
LastUpdateDate: 10/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000XG15232CAY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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