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MITCHELL C LATTER MD INC A PROF CORP NPI 1356469365


NPI Information

NPI: 1356469365
Provider Name: MITCHELL C LATTER MD INC A PROF CORP

Other Name: MITCHELL C LATTER MD INC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 05D2065163

Address:
1499 HUNTINGTON DRIVE
SUITE 508
SOUTH PASADENA, CA
ZIP 91030
Phone: (626) 799-9588
Get Directions

MITCHELL C LATTER MD INC A PROF CORP is an eyewear supplier in South Pasadena, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MITCHELL C LATTER MD INC A PROF CORP NPI is 1356469365. The provider is registered as an organization entity type.
The provider Other Name Is Mitchell C Latter Md Inc.

The provider's business location address is:

1499 HUNTINGTON DRIVE
SUITE 508
SOUTH PASADENA, CA
ZIP 91030-464
Phone: (626) 799-9588
Fax: (626) 799-9339

The provider's authorized official is Mitchell Curtis Latter .
The authorized official title is President and has the following contact phone number (626) 799-9588.

The CLIA number assigned to this NPI record is 05D2065163 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 12/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierG40013CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11255411625OTHERCALIFORNIANPI TYPE 1
200G400131MEDICAIDCALIFORNIA
3B56712MEDICARE UPINCALIFORNIA
4G40013AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
51219870002MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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