Latora Subani
Latora Subani is a Nurse Practitioner in Apple Valley, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 10
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
16179 Siskiyou RdApple Valley, CA 92307-1314
Phone: (661) 267-6876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 95005753 (CA) |
|---|---|
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X · Licence 95005753 (CA) |
Record details
| NPI number | 1033649413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2017 |
| Last updated in NPPES | January 20, 2025 |
| Certification date | January 20, 2025 |
| Mailing address | 3 Rue Monet, Foothill Ranch, CA 92610-2482 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |