# DR. BRIAN HIRO ITAGAKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740398023
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G37936 | CA | Yes |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 11/11/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1710023718 | BLUE SHIELD | CA |
| 05 | — | 1710023718 | — | CA |
| 01 | — | 1740398023 | BLUE CROSS | CA |