Individual
CHIHARU ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-4054
(310) 825-9111
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002792
CA
363LA2100X
Acute Care Nurse Practitioner
95002792
CA
Other
Enumeration date
08/08/2015
Last updated
02/17/2022
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