Ito, Lloyd K

Ito, Lloyd K is an sole proprietor health care provider with primary practice located at 10515 Balboa Blvd Suite 325, Granada Hills CA 91344-6343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ito, Lloyd K can be contacted via phone (818) 366-0565.

Contact Information

Primary practice address
10515 Balboa Blvd Suite 325 Granada Hills CA 91344-6343
Fax: (818) 366-6383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G51268 California

Profile Details

NPI number 1538184957
LBN Legal business name Ito, Lloyd K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Oct 19th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538184957 NPPES
California MEDICAID 00G512681

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