Itamura, John M.

Itamura, John M. is an individual health care provider with primary practice located at 301 N Lake Ave Ste 201 , Pasadena CA 91101-5120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Itamura, John M. can be contacted via phone (626) 568-9030.

Contact Information

Primary practice address
301 N Lake Ave Ste 201 Pasadena CA 91101-5120
Phone: (626) 568-9030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G69735 California

Profile Details

NPI number 1164476719
LBN Legal business name Itamura, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Feb 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164476719 NPPES
California MEDICAID 00G697350
California Other 00G697350

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