Latora Subani, is a
Nurse Practitioner - Adult Health physician based in Apple Valley, California. Latora Subani is licensed to practice in California (license number 95005753) and her current practice location is 16179 Siskiyou Rd, Apple Valley, California. She can be reached at her office (for appointments etc.) via phone at
(661) 267-6876.
NPI number for Latora Subani is 1033649413 and her current mailing address is 3 Rue Monet, Foothill Ranch, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033649413.
Physician's Profile
Full Name | Latora Subani |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 16179 Siskiyou Rd, Apple Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033649413
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 10/09/2017
Medical Identifiers
Medical identifiers for Latora Subani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033649413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 95005753 (California) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 95005753 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latora Subani is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Latora Subani, 3 Rue Monet, Foothill Ranch, CA 92610-2482 Ph: () - | Latora Subani, 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 Ph: (661) 267-6876 |
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