Individual
DR. BRIAN TAKESHI ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4247 TELEGRAPH RD, VENTURA, CA 93003-3705
(805) 644-5563
(805) 644-3430
Mailing address
5277 MEADOWRIDGE CT, CAMARILLO, CA 93012-4128
(805) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30009
CA
Other
Enumeration date
05/11/2006
Last updated
06/18/2008
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