person
Ms. Dianne Mitsuko Ito, PNP
Pediatric Nurse Practitioner in Los Angeles, California
NPI 1467778696

Dianne Mitsuko Ito is a Pediatric Nurse Practitioner based in Dana Point, CA and is specialized in Pediatrics. Dianne Mitsuko Ito practices in Los Angeles, CA and has the professional credentials of PNP. The NPI Number for Dianne Mitsuko Ito is 1467778696 and holds a License No. 457020 (California).

The current practice location address for Dianne Mitsuko Ito is 4650 Sunset Boulevard, Los Angeles, CA and can be reached out via phone at 323-361-3033 and via fax at 323-361-8191.

Location: 4650 Sunset Boulevard, Los Angeles, CA, 92629-8162
person
Provider Profile Details
NPI Number
1467778696
Provider Name
Dianne Mitsuko Ito
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
4650 Sunset Boulevard, Los Angeles, CA, 92629-8162
Phone Number
323-361-3033
Fax Number
323-361-8191
Provider Enumeration Date
04/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4650 Sunset Boulevard
City
State
Zip
90027-0980
Phone Number
323-361-3033
Fax Number
323-361-8191
person
Provider Business Mailing Address Details
Address
4650 Sunset Boulevard
City
State
Zip
90027-0980
Phone Number
323-361-3033
Fax Number
323-361-8191
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
457020 (California)
Definition
Definition to come...
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