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Mitchell C Latter Md Inc A Prof Corp
Eyewear Supplier in South Pasadena, California
NPI 1356469365

Mitchell C Latter Md Inc A Prof Corp is a Eyewear Supplier based in South Pasadena, CA. Mitchell C Latter Md Inc A Prof Corp practices in South Pasadena, CA. The NPI Number for Mitchell C Latter Md Inc A Prof Corp is 1356469365 and holds a License No. G40013 (California).

The current practice location address for Mitchell C Latter Md Inc A Prof Corp is 1499 Huntington Drive, South Pasadena, CA and can be reached out via phone at 626-799-9588 and via fax at 626-799-9339.

Location: 1499 Huntington Drive, South Pasadena, CA, 91030-5464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356469365
Provider Name
Mitchell C Latter Md Inc A Prof Corp
Credential
Provider Entity Type
Organization
Address
1499 Huntington Drive, South Pasadena, CA, 91030-5464
Phone Number
626-799-9588
Fax Number
626-799-9339
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255411625 01 CA NPI TYPE 1
00G400131 05 CA
institution
Provider Business Practice Location Address Details
Address
1499 Huntington Drive
City
South Pasadena
State
California
Zip
91030-5464
Phone Number
626-799-9588
Fax Number
626-799-9339
person
Provider Business Mailing Address Details
Address
1499 Huntington Drive
City
South Pasadena
State
California
Zip
91030-5464
Phone Number
626-799-9588
Fax Number
626-799-9339
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
G40013 (California)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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