Individual
KYOHEI ITAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE STE 2500, LOS ANGELES, CA 90033-2434
(323) 306-9632
Mailing address
14650 AVIATION BLVD STE 200, HAWTHORNE, CA 90250-6670
(323) 306-9632
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A183068
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2020
Last updated
07/07/2025
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