MEDICARE: IGNACIO ITURBE M.D.

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	207RH0003X	Hematology & Oncology Physician	A42415	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	WA42415G	OTHER	CA	MEDICARE PTAN

General Provider Information

NPI Number	:	1972513695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IGNACIO ITURBE M.D.

Provider Business Mailing Address
First Line	:	855 3RD AVE STE 3330
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91911-1350
Country	:	US
Telephone Number	:	619-745-1031
Fax Number	:	619-745-1032

Provider Business Practice Location Address
First Line	:	855 3RD AVE STE 3330
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91911-1350
Country	:	US
Telephone Number	:	619-745-1031
Fax Number	:	619-745-1032

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	05/17/2022

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Directions to “ IGNACIO ITURBE M.D.” Practice Location

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