Provider Demographics
NPI:1457788747
Name:LATZER CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:LATZER CHIROPRACTIC, INC.
Other - Org Name:TRUE HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LATZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-527-3485
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:805-285-5393
Practice Address - Street 1:1445 E LOS ANGELES AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2817
Practice Address - Country:US
Practice Address - Phone:805-527-3485
Practice Address - Fax:805-285-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-19887111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty