| Jennifer S Ito Md Llc | |
|
2226 Liliha St Suite 306 Honolulu HI 96817-1600 | |
| (808) 531-5711 | |
| (808) 531-5722 |
| Full Name | Jennifer S Ito Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2226 Liliha St, Honolulu, Hawaii |
| Authorized Official Name and Position | Jennifer S Ito (OWNER) |
| Authorized Official Contact | 8085315711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer S Ito Md Llc 2226 Liliha St Suite 306 Honolulu HI 96817-1600 Ph: () - | Jennifer S Ito Md Llc 2226 Liliha St Suite 306 Honolulu HI 96817-1600 Ph: (808) 531-5711 |
| NPI Number | 1447467857 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648371476 |
|---|---|
| Medicare Enrollment ID | O20070724000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447467857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD11442 (Hawaii) | Primary |
| Provider Name | Jennifer S Ito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841222106 PECOS PAC ID: 0648296780 Enrollment ID: I20051018001239 |
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