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NPI Code Detail

MEDICARE: ASFANDYAR LATIF MD

MEDICARE: ASFANDYAR LATIF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA203713CA

General Provider Information

NPI Number : 1659001329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASFANDYAR LATIF MD
Provider Business Mailing Address
First Line : 1135 S SUNSET AVE STE 401
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3921
Country : US
Telephone Number : 626-732-8390
Fax Number :
Provider Business Practice Location Address
First Line : 1135 S SUNSET AVE STE 401
Second Line :
City : WEST COVINA
State : CA
Zip : 91790-3921
Country : US
Telephone Number : 626-732-8390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2022
Last Update Date : 02/04/2026

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