Individual
TRACI E ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 OWENS ST STE 380, SAN FRANCISCO, CA 94158-2335
(415) 885-7788
Mailing address
1001 POTRERO AVE RM 6D14, SAN FRANCISCO, CA 94110-3518
(628) 206-8358
(628) 206-5554
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101264682
VA
207V00000X
Obstetrics & Gynecology Physician
A174188
CA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A174188
CA
Other
Enumeration date
04/04/2012
Last updated
11/08/2022
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