Provider Demographics
NPI:1205841087
Name:LATUNO, DENNIS HONASAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:HONASAN
Last Name:LATUNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43847 HEATON AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4936
Mailing Address - Country:US
Mailing Address - Phone:661-726-3046
Mailing Address - Fax:661-726-3069
Practice Address - Street 1:43847 HEATON AVE STE B
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4936
Practice Address - Country:US
Practice Address - Phone:661-726-3046
Practice Address - Fax:661-726-3069
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52598174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG04502Medicare UPIN