Ito, Terrance Roger

Ito, Terrance Roger is an individual health care provider with primary practice located at 1812 Verdugo Blvd , Glendale CA 91208-1407. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ito, Terrance Roger can be contacted via phone (818) 790-7100.

Contact Information

Primary practice address
1812 Verdugo Blvd Glendale CA 91208-1407
Phone: (818) 790-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP19434 California
Nursing Service Providers / Registered Nurse 163W00000X 556344 California

Profile Details

NPI number 1932439767
LBN Legal business name Ito, Terrance Roger
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2009
Last updated Apr 16th, 2024 - about 5 months 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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