Individual provider · Type 1 NPI

Grace G. Lat, MD

Adult Medicine Physician · Oakland, CA

NPI number 1528196326 Active

Practice location

6599 Foothill Blvd.
Oakland, CA 94605

Mailing address

2709 Cherry Blossom Way
Union City, CA 94587-4911

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XA5590 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1528196326

Grace G. Lat, MD's National Provider Identifier is 1528196326, issued on Mar 1, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.