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Contact Information

MARIAM L ABDUL LATIF, MD
101 THE CITY DR S
BLDG 56, STE 600, ZOT 4490
ORANGE, CA92868-3201
 Phone: 714-456-6920
 Fax: 714-456-7658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARIAM L ABDUL LATIF · (Female)

NPI # 1538418884
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2012
Last updated 12/06/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A122693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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