Individual
MR. JAMES ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7343 EL NIDO, LA VERNE, CA 91750-1127
(909) 596-7245
Mailing address
7343 EL NIDO, LA VERNE, CA 91750-1127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G30381
CA
207RI0200X
Infectious Disease Physician
Primary
G30381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G303810
—
CA
Enumeration date
08/24/2006
Last updated
08/07/2019
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