Latisha L Deyoung in Long Beach - Pediatric Surgery
Latisha L Deyoung - NPI 1659536688
Latisha L Deyoung is a Pediatric Surgery in Long Beach, California. Latisha L Deyoung practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Latisha L Deyoung is 1659536688. The last update date is 2017-08-25.
Latisha L Deyoung's current location address is 2801 Atlantic Ave, Long Beach, California. You can contact this provider via phone number 5629331567. The mailing address for Latisha L Deyoung is 2801 Atlantic Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Latisha L Deyoung |
|---|---|
| Address | 2801 Atlantic Ave, Long Beach, California |
| Phone Number | 5629331567 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | CPNP-PC/AC |
NPI Number Detail
| NPI Number | 1659536688 |
|---|---|
| Provider Enumeration Date | 2008-07-18 |
| Last Updated Date | 2017-08-25 |
Provider Mailing Address Detail
| Address | 2801 Atlantic Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908061701 |
| Phone Number | 5629331567 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | NP16256 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Latisha L Deyoung by the Centers for Medicare & Medicaid Services (CMS)?
The Latisha L Deyoung has been assigned the NPI (National Provider Identifier) 1659536688. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Latisha L Deyoung's facilities are geographically located?
The facilities of Latisha L Deyoung are physically situated at the following location: 2801 Atlantic Ave, Long Beach, CA, 908061701.
What is the Latisha L Deyoung's specialty and taxonomy code?
The Latisha L Deyoung's specialty is Pediatric Surgery, and the corresponding taxonomy code is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659536688 to Latisha L Deyoung?
The Centers for Medicare & Medicaid Services originally issued the 1659536688 to Latisha L Deyoung on 2008-07-18.
When was the information regarding Latisha L Deyoung most recently updated?
The details pertaining to the Latisha L Deyoung, including its address, specialty, and other relevant information, were last refreshed on 2017-08-25.