Provider Demographics
NPI:1598154064
Name:FRANCINE ITO MD INC
Entity Type:Organization
Organization Name:FRANCINE ITO MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:FUMI
Authorized Official - Last Name:ITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-540-5599
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63053207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty