Provider Demographics
NPI:1275562993
Name:ITO, FRANCINE FUMI (MD)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:FUMI
Last Name:ITO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3129
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-3129
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:3465 TORRANCE BLVD
Practice Address - Street 2:SUITE #S
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5804
Practice Address - Country:US
Practice Address - Phone:310-540-5599
Practice Address - Fax:310-543-1549
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63053207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF15184Medicare UPIN
CB230792Medicare PIN
CAWG63053BMedicare PIN