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General NPI Number Information
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NPI Number | 1326378373
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Entity Type | Organization
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Legal Business Name | IRA S LATTO MD MEDICAL CORP
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Dates
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Enumeration Date | 01/13/2010
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 19180 SOLEDAD CANYON RD
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-3364
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Country | US
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Telephone | 661-298-1733
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Fax | 661-298-8006
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Provider Business Mailing Address
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Address Line | 6850 SEPULVEDA BLVD STE 110
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City | VAN NUYS
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State | CA
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Zip | 91405-4465
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Country | US
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Telephone | 818-782-6841
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Fax | 818-782-3553
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Authorized Official
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Title or Position | OWNER
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Name | IRA STEWART LATTO
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Credential | M.D.
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Telephone | 661-298-1733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G12260
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License Number State | CA
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