# ITANO AND ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598575003
- **Authorized official:** DANIEL ITANO DO (OWNER AND PROVIDER)
- **Authorized official phone:** (714) 458-8875

## Contact information

- **Practice address:** 1081 KATHLEEN AVE, KINGMAN, AZ 86401-3918
- **Practice address phone:** (928) 753-5580
- **Mailing address:** 1550 W HORIZON RIDGE PKWY STE PMB 35, HENDERSON, NV 89012-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/08/2025