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)
(626) 799-9588
Entity
Organization
Contact information
Practice address
1499 HUNTINGTON DR, SUITE 508, SOUTH PASADENA, CA 91030-5464
(626) 799-9588
(626) 799-9339
Mailing address
1499 HUNTINGTON DR, SUITE 508, SOUTH PASADENA, CA 91030-5464
(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
01
—
1255411625
NPI TYPE 1
CA
Enumeration date
01/08/2009
Last updated
09/14/2023
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