Organization
MITCHELL C LATTER M D INC A PROF CORP
Active
Parent organization
MITCHELL C LATTER M D INC
Other names
Mitchell C Latter MD Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
MITCHELL C LATTER M D INC
Authorized official
DR. MITCHELL CURTIS LATTER M.D. (PRESIDENT)
(626) 799-9588
Entity
Organization
Contact information
Practice address
375 HUNTINGTON DR, SUITE F, SAN MARINO, CA 91108-2357
(626) 799-9588
(626) 799-9339
Mailing address
375 HUNTINGTON DR, SUITE F, SAN MARINO, CA 91108-2357
(626) 799-9588
(626) 799-9339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G40013
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G400131
—
CA
Enumeration date
02/13/2008
Last updated
04/29/2009
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