Individual
MR. REX ITCHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9333 IMPERIAL HWY, DOWNEY, CA 90242-2812
(833) 574-2273
Mailing address
2514 E 6TH ST APT B, LONG BEACH, CA 90814-7364
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95049450
CA
Other
Enumeration date
11/25/2022
Last updated
09/21/2023
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