Ito, Timothy Kiyoshi

Ito, Timothy Kiyoshi is an individual health care provider with primary practice located at 1411 E 31St St , Oakland CA 94602-1018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ito, Timothy Kiyoshi can be contacted via phone (510) 437-4401.

Contact Information

Primary practice address
1411 E 31St St Oakland CA 94602-1018
Phone: (510) 437-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD448549 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X A139817 California

Profile Details

NPI number 1881860815
LBN Legal business name Ito, Timothy Kiyoshi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Oct 6th, 2023 - about last year

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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