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NPI Code Detail

MEDICARE: JOHN ELLIS LATTIN MD

MEDICARE: JOHN ELLIS LATTIN 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
1207R00000XInternal Medicine Physician2023019621MO
2207RX0202XMedical Oncology PhysicianA209206CA

General Provider Information

NPI Number : 1649955170
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ELLIS LATTIN MD
Provider Business Mailing Address
First Line : 700 TIVERTON AVE BLDG 11-934
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-8361
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 757 WESTWOOD PLZ
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-8358
Country : US
Telephone Number : 310-825-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2023
Last Update Date : 06/11/2026

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