SearchCalifornia1041C0700X

Latisha O'Connor

NPI 1639682255 · on the registry since 2017

Practice

Address
11304 Chandler Blvd Unit 766
North Hollywood, CA 91603
Phone
(424) 209-7238

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California