Healthcare Provider Details

I. General information

NPI: 1598154064
Provider Name (Legal Business Name): FRANCINE ITO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3465 TORRANCE BLVD SUITE #S
TORRANCE CA
90503-5804
US

IV. Provider business mailing address

PO BOX 3129
TORRANCE CA
90510-3129
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-5599
  • Fax: 310-543-1549
Mailing address:
  • Phone: 310-792-3914
  • Fax: 855-898-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG63053
License Number StateCA

VIII. Authorized Official

Name: FRANCINE FUMI ITO
Title or Position: PRESIDENT/ OWNER
Credential: M.D.
Phone: 310-540-5599