Provider Demographics
NPI:1306034665
Name:LATZER, SAUL A (DC)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:A
Last Name:LATZER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4448 LUBBOCK DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-1769
Mailing Address - Country:US
Mailing Address - Phone:805-527-3485
Mailing Address - Fax:
Practice Address - Street 1:4448 LUBBOCK DR
Practice Address - Street 2:UNIT A
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-1769
Practice Address - Country:US
Practice Address - Phone:805-527-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-19887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor