Daniel Itano, D.O.
Family Medicine in Lake Havasu City, AZ. Individual provider (NPI-1).
NPI number1194133041
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1194133041
- Entity type
- Individual (NPI-1)
- Name
- Daniel Itano
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2014
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO2126 | NV | Yes |
| 207Q00000X | Family Medicine | 008447 | AZ | |
| 207Q00000X | Family Medicine | 20A13692 | CA |
Practice location
101 Civic Center LnLake Havasu City, AZ 86403-5607
Phone 928-855-8185
Mailing address
5870 Hiatus RdTamarac, FL 33321-6424
Phone 888-447-2362 · Fax 865-560-7110
Other practice locations
10301 Jeffreys St
Henderson, NV 89052-3922
Henderson, NV 89052-3922
Phone 888-447-2362
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All 29 Family Medicine Physician providers in Lake Havasu City · All 1,016 providers in Lake Havasu City
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