| Itano and Associates PLLC | |
|
1081 Kathleen Ave Kingman AZ 86401-3918 | |
| (928) 753-5580 | |
| Not Available |
| Full Name | Itano and Associates PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1081 Kathleen Ave, Kingman, Arizona |
| Authorized Official Name and Position | Daniel Itano (OWNER AND PROVIDER) |
| Authorized Official Contact | 7144588875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Itano and Associates PLLC 1550 W Horizon Ridge Pkwy Ste Pmb 35 Henderson NV 89012-3600 | Itano and Associates PLLC 1081 Kathleen Ave Kingman AZ 86401-3918 Ph: (928) 753-5580 |
| NPI Number | 1598575003 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 6608392527 |
|---|---|
| Medicare Enrollment ID | O20250423003670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598575003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Daniel Itano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194133041 PECOS PAC ID: 6002131067 Enrollment ID: I20161221001765 |
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