Provider Demographics
NPI:1306087218
Name:LATZ, SARA (MD, JD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:LATZ
Suffix:
Gender:F
Credentials:MD, JD
Other - Prefix:
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Mailing Address - Street 1:984 MONUMENT ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3858
Mailing Address - Country:US
Mailing Address - Phone:310-230-2233
Mailing Address - Fax:310-230-2236
Practice Address - Street 1:984 MONUMENT ST STE 102
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3858
Practice Address - Country:US
Practice Address - Phone:310-230-2233
Practice Address - Fax:310-230-2236
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA439722084F0202X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry