Healthcare Provider Details

I. General information

NPI: 1942215686
Provider Name (Legal Business Name): SEEMA LATIF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11480 BROOKSHIRE SUITE #204
DOWNEY CA
90241-5026
US

IV. Provider business mailing address

75 REMITTANCE DR DEPT 6008
CHICAGO IL
60675-6008
US

V. Phone/Fax

Practice location:
  • Phone: 562-862-2775
  • Fax: 562-904-8095
Mailing address:
  • Phone: 562-282-1419
  • Fax: 562-920-4642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA52771
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number52771
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: