Deyoung, Latisha L

Deyoung, Latisha L is an sole proprietor health care provider with primary practice located at 2801 Atlantic Ave , Long Beach CA 90806. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Deyoung, Latisha L can be contacted via phone (562) 933-1567.

Contact Information

Primary practice address
2801 Atlantic Ave Long Beach CA 90806
Phone: (562) 933-1567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 668941 California
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X NP16256 California

Profile Details

NPI number 1659536688
LBN Legal business name Deyoung, Latisha L
Credentials CPNP-PC/AC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2008
Last updated Aug 25th, 2017 - 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.

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