Kouichi Itoh
ITOH DENTAL CORPORATION


Address: 400 E 2nd St, Los Angeles, CA 90012-4228
Phone: 2136873895

Kouichi Itoh (NPI# 1063633113, PAC ID# 7719108117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1063633113
PAC ID by PECOS 7719108117
Professional Enrollment ID I20141031000157
Full Name Kouichi Itoh
Organization Legal Name ITOH DENTAL CORPORATION
Address 400 E 2nd St
Los Angeles
CA 90012-4228
Phone Number 2136873895
Gender M
Medical School LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year 1991
Primary Specialty ORAL SURGERY
Group Practice PAC ID 4385865781
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
400 E 2nd St, Los Angeles, CA 90012-4228 2136873895 ITOH DENTAL CORPORATION
400 E 2nd St, Suite 207, Los Angeles, CA 90012-4228 2136873895 ITOH DENTAL CORPORATION

Organization Information

Organization Legal Name ITOH DENTAL CORPORATION
Physicians 1

Office Location

Street Address 400 E 2ND ST
City LOS ANGELES
State CA
Zip 90012-4228

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Competitor

Search similar physicians

City LOS ANGELES
Zip Code 90012
Specialty ORAL SURGERY
City + Specialty LOS ANGELES + ORAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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