NPI 1003591330
Justin Jeffrey Lat
Practice location
- Address
- 265 S Anita Dr STE 102-104, Orange, CA 92868-3355
- Phone
- (310) 945-3350
- Mailing address
- 9808 Venice Blvd STE 505, Culver City, CA 90232-6818
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1003591330
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Jun 2023
- Record last updated
- 23 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.