MITCHELL C LATTER MD INC (MITCHELL C LATTER M D INC A PROF CORP) NPI 1588832448

Ophthalmology in San Marino, CA

NPI 1588832448 Organization Ophthalmology CLIA Number 05D2065163 CLIA Certificate of Waiver

About MITCHELL C LATTER MD INC (MITCHELL C LATTER M D INC A PROF CORP)

Mitchell C Latter Md Inc (mitchell C Latter M D Inc A Prof Corp) is a provider established in San Marino, California specializing in ophthalmology. The NPI number of Mitchell C Latter Md Inc (mitchell C Latter M D Inc A Prof Corp) is 1588832448 and was assigned on February 2008. The practitioner's primary taxonomy code is 207W00000X with license number G40013 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Mitchell C Latter Md Inc (mitchell C Latter M D Inc A Prof Corp) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Mitchell C Latter Md Inc. The authorized official of this NPI record is Dr. Mitchell Curtis Latter M.d. (President)

The CLIA number of Mitchell C Latter Md Inc is 05D2065163 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Mitchell C Latter Md Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1588832448

Provider NameMITCHELL C LATTER MD INC (MITCHELL C LATTER M D INC A PROF CORP)
Provider Location Address375 HUNTINGTON DR SUITE F SAN MARINO, CA 91108
Provider Mailing Address375 HUNTINGTON DR SUITE F SAN MARINO, CA 91108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameMITCHELL C LATTER MD INC
Other Name TypeOther Name (5)
Enumeration Date02-13-2008
Last Update Date04-29-2009


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.G40013
License StateCA
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

MITCHELL C LATTER MD INC
375 HUNTINGTON DR
SUITE F
SAN MARINO, CA
ZIP 91108
Phone: (626) 799-9588
Fax: (626) 799-9339

Get Directions


Mailing Address

MITCHELL C LATTER MD INC
375 HUNTINGTON DR
SUITE F
SAN MARINO, CA
ZIP 91108
Phone: (626) 799-9588
Fax: (626) 799-9339



Authorized Official

Authorized Official NameDR. MITCHELL CURTIS LATTER M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(626) 799-9588

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1588832448 is:

CLIA Number05D2065163
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G40013AMEDICARE PIN (08)
00G400131MEDICAID (05)CA
1219870002MEDICARE NSC (07)
B56712MEDICARE UPIN (02)

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184612327DR. LOUIS KENNETH COUNTRYMAN M.D.
Individual
Specialist375 HUNTINGTON DR # D
SAN MARINO, CA 91108
(626) 287-9611
1093787178 LORNA BLANCO M.D.
Individual
Specialist375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231
1922071398 CHIEN FANG MD
Individual
Internal Medicine375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231
1972577690 RICHARD WILLIAMS MD
Individual
Internal Medicine375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231
1023082740 TINA YANG MD
Individual
Family Medicine375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231
1528017894MRS. SONYA CHEN-HSIEH MD
Individual
Family Medicine375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231
1649371832DR. ASIF MAHMOOD M.D
Individual
Internal Medicine (Pulmonary Disease)375 HUNTINGTON DR E
SAN MARINO, CA 91108
(626) 578-0283
1659704286 EMILY HORTENSTINE MCDOWELL PA-C
Individual
Physician Assistant375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(678) 617-4601
1467886507KARL VON TIEHL, MD, INC.
Organization
Clinic/Center (Medical Specialty)375 HUNTINGTON DR SUITE C
SAN MARINO, CA 91108
(626) 460-6038
1568846566DIAMOND VISION INSTITUTE
Organization
Ophthalmology375 HUNTINGTON DR SUITE E
SAN MARINO, CA 91108
(626) 802-4920
1831322148DR. MU-CHIEN CHIANG D.O.
Individual
Internal Medicine375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231
1063433019BUY WELL INC
Organization
Pharmacy (Community/Retail Pharmacy)375 HUNTINGTON DR
SAN MARINO, CA 91108
(626) 441-1159
1124274998DR. JEFFREY HUANG D.O.
Individual
Ophthalmology375 HUNTINGTON DR SUITE D
SAN MARINO, CA 91108
(626) 799-2075
1013165869DR. KARL FRIEDRICH VONTIEHL M.D.
Individual
Allergy & Immunology375 HUNTINGTON DR SUITE C
SAN MARINO, CA 91108
(858) 699-4949
1417003831HUNTINGTON MEDICAL FOUNDATION
Organization
Internal Medicine375 HUNTINGTON DR SUITE G
SAN MARINO, CA 91108
(626) 441-4231

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.