Dr. Yuichi Ito , MD
Specialist • Gardena, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Yuichi Ito has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Yuichi Ito, MD was a registered Specialist practicing in Gardena, CA. Throughout an active medical career spanning 17 years, Dr. Ito provided care at the practice location at 1141 W REDONDO BEACH BLVD until profile deactivation on 2022-03-04.
Practice Location & Contact Primary Location
1141 W Redondo Beach Blvd
#303
Gardena, CA 902473586
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Gardena, CA
Practicing in Gardena, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Physician Assistant
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Optometrist
Doctor of Optometry
Neurological Surgery
Doctor of Medicine (M.D.)
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 04, 2022
NPI status registered as active in NPPES database
Registered at 1141 W REDONDO BEACH BLVD, #303, GARDENA, CA 902473586 (Tel: 3105382930)
Registered at 1141 W REDONDO BEACH BLVD, #303, GARDENA, CA 902473586 (Tel: 3105382930)
Recorded as YUICHI ITO, M.D.
Specialist (License #A22465 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1141 W Redondo Beach Blvd, #303
Gardena, CA 902473586
Phone: 3105382930
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