NPI 1023693579
Eddie Latimer
Practice location
- Address
- 13790 Rockport CT, Moreno Valley, CA 92553-6002
- Phone
- (310) 920-3400
- Mailing address
- 1104 1/2 E 7th St # 217, Los Angeles, CA 90021-1504
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1023693579
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Mar 2021
- Record last updated
- 16 Mar 2021
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.