| Ikramah Latif, | |
|
1601 Precision Park Ln, San Diego, CA 92173-1345 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Ikramah Latif |
|---|---|
| Gender | Male |
| Speciality | Osteopathic Manipulative Medicine |
| Experience | 4 Years |
| Location | 1601 Precision Park Ln, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407437650 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Saint John's Health Center | Santa monica, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Saint Johns Medical Foundation | 0840548624 | 256 |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Ikramah Latif, 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: () - | Ikramah Latif, 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (619) 662-4100 |
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