Individual
DR. BRIAN HIRO ITAGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 W 3RD ST, SUITE 400, LOS ANGELES, CA 90057-1932
(213) 484-7600
(213) 484-7566
Mailing address
2200 W 3RD ST, SUITE 400, LOS ANGELES, CA 90057-1932
(213) 484-7600
(213) 484-7566
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G37936
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710023718
AETNA
CA
05
—
1710023718
—
CA
01
—
1740398023
BLUE CROSS
CA
Enumeration date
08/28/2006
Last updated
11/11/2015
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