Individual
SHIHO I ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
3516 E BALMORAL DR, ORANGE, CA 92869-7537
(714) 923-4518
(714) 876-6263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A82290
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A82290
CA
208M00000X
Hospitalist Physician
A82290
CA
Other
Enumeration date
03/28/2007
Last updated
12/20/2023
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