Organization
MITCHELL C LATTER M D INC A PROF CORP
Active
Other names
Mitchell C Latter MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL CURTIS LATTER M.D. (PRESIDENT)
(562) 920-8829
Entity
Organization
Contact information
Practice address
10230 ARTESIA BLVD, SUITE 204, BELLFLOWER, CA 90706-6763
(562) 920-8829
(562) 920-1305
Mailing address
10230 ARTESIA BLVD, SUITE 204, BELLFLOWER, CA 90706-6763
(562) 920-8829
(562) 920-1305
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
G40013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G400130
—
CA
Enumeration date
03/26/2007
Last updated
04/29/2009
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