Individual
FUMITO ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033-5331
(323) 442-9062
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-9062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
282373
NY
2086X0206X
Surgical Oncology Physician
282373
NY
2086X0206X
Surgical Oncology Physician
Primary
C175446
CA
Other
Enumeration date
04/19/2006
Last updated
11/22/2022
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