Mitchell C Latter M D Inc a Prof Corp

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

1499 Huntington Dr
Suite 508
South Pasadena, CA 91030-5464

Phone

(626) 799-9588

Fax

(626) 799-9339

NPI assigned

Jan 8, 2009

Organization subpart

No

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

(626) 799-9588

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mitchell C Latter MD Inc Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Mitchell C Latter M D Inc a3 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.

• Mitchell C Latter M D Inc a Prof Corp

  • Ophthalmology Physician
  • Bellflower, CA
  • NPI 1144466574
  NPD tax ID
• Mitchell C Latter M D Inc a Prof Corp

  • Ophthalmology Physician
  • San Marino, CA
  • NPI 1588832448
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Curtis Latter, MD

  • Ophthalmology Physician
  • South Pasadena, CA
  • NPI 1255411625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1962649210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR",
            "address_2": "SUITE 508",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305464",
            "telephone_number": "626-799-9588",
            "fax_number": "626-799-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR",
            "address_2": "SUITE 508",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305464",
            "telephone_number": "626-799-9588",
            "fax_number": "626-799-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL C LATTER M D INC A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "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": "626-799-9588",
        "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": "00G400131",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1255411625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell C Latter MD Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mitchell C Latter MD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carissa Millican
• Susan Min, PHARM.D.
• Minassian Rehab Management Inc
• Donna M Mince-Lewis, LCSW
• Jennifer Sofia Miranda Ramirez
• Mitchell C Latter MD Inc a Prof Corp
• Jacinda Mitchell, LMFT
• Roy Isamu Miyashiro, PHARM D
• Keisuke Mizuno, BSN, RN
• Davisha Moaning

• Ophthalmology Physician in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.