MEDICARE: EKAETTE ITON R.N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1326125527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKAETTE ITON R.N

Provider Business Mailing Address
First Line	:	2222 W MANCHESTER BLVD STE B
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-2529
Country	:	US
Telephone Number	:	323-751-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 W MANCHESTER BLVD STE B
Second Line	:
City	:	INGLEWOOD
State	:	CA
Zip	:	90305-2529
Country	:	US
Telephone Number	:	323-751-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	10/25/2025

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