# MITCHELL C LATTER M D INC A PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MITCHELL C LATTER M D INC
- **Other names:** Mitchell C Latter MD Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588832448
- **Legal business name:** MITCHELL C LATTER M D INC
- **Authorized official:** DR. MITCHELL CURTIS LATTER M.D. (PRESIDENT)
- **Authorized official phone:** (626) 799-9588

## Contact information

- **Practice address:** 375 HUNTINGTON DR, SUITE F, SAN MARINO, CA 91108-2357
- **Practice address phone:** (626) 799-9588
- **Practice address fax:** (626) 799-9339
- **Mailing address:** 375 HUNTINGTON DR, SUITE F, SAN MARINO, CA 91108-2357
- **Mailing address phone:** (626) 799-9588
- **Mailing address fax:** (626) 799-9339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G40013 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 04/29/2009