Individual
DR. ALAA LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 ROYALTY DRIVE, POMONA, CA 91767-5176
(909) 630-7290
(909) 630-7299
Mailing address
1900 ROYALTY DR STE 140, POMONA, CA 91767-3044
(909) 620-0200
(909) 620-0220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A51955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A519552
—
CA
01
—
WA51955H
MEDICARE PTAN
—
Enumeration date
10/13/2005
Last updated
10/04/2021
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