NPIMap

Organization Active NPI

Mitchell C Latter M D Inc a Prof Corp

  • Ophthalmology Physician
  • Bellflower, CA
National Provider Identifier
1144466574
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G40013 Issued in CA
Legal business name
MITCHELL C LATTER M D INC A PROF CORP
Practice address
10230 Artesia Blvd
Suite 204
Bellflower, CA 90706-6763
Phone
(562) 920-8829
Fax
(562) 920-1305
NPI assigned
Jan 7, 2009
Last updated
Apr 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mitchell Curtis Latter, M.D.NPI 1255411625
Title
President
Phone
(562) 920-8829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G40013 CA Primary

Addresses

Primary practice location

10230 Artesia Blvd
Suite 204
Bellflower, CA 90706-6763

Mailing address

10230 Artesia Blvd
Suite 204
Bellflower, CA 90706-6763
Phone (562) 920-8829

Other identifiers 1

IdentifierTypeStateIssuer
00G400130MedicaidCA

Other names 1

  • Mitchell C Latter MD Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Mitchell C Latter M D Inc a Prof Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1144466574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066763",
            "telephone_number": "562-920-8829",
            "fax_number": "562-920-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066763",
            "telephone_number": "562-920-8829",
            "fax_number": "562-920-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL C LATTER M D INC A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "LATTER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-920-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G40013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G400130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell C Latter MD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.