Search › California › 103TC0700X
Jack Ito, PHD
NPI 1710966593 · on the registry since 2006
Practice
- Address
- Naval Hospital 29 Palms
Mcagcc
29 Palms, CA 92278 - Phone
- (760) 830-2782
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-01
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