Carson, Latisa S
Carson, Latisa S is an individual health care provider with primary practice located at 891 Kuhn Dr Ste 111 , Chula Vista CA 91914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Carson, Latisa S can be contacted via phone (619) 475-9744.Contact Information
Primary practice address
891 Kuhn Dr Ste 111
Chula Vista CA 91914
Phone: (619) 475-9744
Fax: (619) 475-4450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A72235 | California |
Profile Details
| NPI number | 1245229129 |
|---|---|
| LBN Legal business name | Carson, Latisa S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 29th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245229129 | NPPES |
| California | MEDICAID | A722350 |
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