Mitchell C Latter M D INC a Prof Corp

NPI #1588832448 in San Marino, California

Provider Information

NPI Number
1588832448
Entity Type
Organization
Organization Name
Mitchell C Latter M D INC a Prof Corp
Subpart
Yes (part of a larger organization)
Parent Organization
MITCHELL C LATTER M D INC
Primary Specialty
Ophthalmology
Enumeration Date
Feb 13, 2008
Last Updated
Apr 29, 2009

Practice Location

Address
375 HUNTINGTON DR
Address 2
SUITE F
ZIP Code
91108-2357
Phone
(626) 799-9588

Authorized Official

Name
DR. MITCHELL CURTIS LATTER, M.D.
Title
PRESIDENT
Phone
(626) 799-9588

Specialties & Taxonomy Codes

Specialty
Ophthalmology

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