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NPI Code Detail

MEDICARE: LATANZA PRICE

MEDICARE:   LATANZA  PRICE
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
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1912770447
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATANZA PRICE
Provider Business Mailing Address
First Line : 348 E AVENUE K4 STE 352&354
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4505
Country : US
Telephone Number : 661-864-6418
Fax Number :
Provider Business Practice Location Address
First Line : 348 E AVENUE K4 STE 352&354
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4505
Country : US
Telephone Number : 661-864-6418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2023
Last Update Date : 05/01/2025

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Directions to “ LATANZA PRICE ” Practice Location

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