Search › California › 225XP0200X
Matthew Ito
NPI 1518433820 · on the registry since 2018 · sole proprietor
Practice
- Address
- 16182 Melody Ln
Huntington Beach, CA 92649 - Phone
- (714) 624-1472
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California