Kouichi Itoh is a Dentist in Costa Mesa, California. Kouichi Itoh practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kouichi Itoh is 1063633113. The last update date is 2014-06-05.
Kouichi Itoh's current location address is 3151 Airway Ave. # F-103, Costa Mesa, California. You can contact this provider via phone number 7145497030. The mailing address for Kouichi Itoh is 3151 Airway Ave. # F-103, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kouichi Itoh |
|---|---|
| Address | 3151 Airway Ave. # F-103, Costa Mesa, California |
| Phone Number | 7145497030 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063633113 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2014-06-05 |
Provider Mailing Address Detail
| Address | 3151 Airway Ave. # F-103 |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 92626 |
| Phone Number | 7145497030 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39420 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Kouichi Itoh by the Centers for Medicare & Medicaid Services?
The Kouichi Itoh has been assigned the NPI (National Provider Identifier) 1063633113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kouichi Itoh?
The Kouichi Itoh is physically situated at 3151 Airway Ave. # F-103, in the city of Costa Mesa, state of CA, with the postal code 92626.
What is the Kouichi Itoh's area of specialization and corresponding taxonomy classification?
The Kouichi Itoh's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Kouichi Itoh receive the assignment of its 1063633113 from the Centers for Medicare & Medicaid Services?
The Kouichi Itoh was issued its 1063633113 by the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the information pertaining to Kouichi Itoh most recently updated or revised?
The details related to Kouichi Itoh, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-05.