Individual ProviderChiharu ItoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-4054(310) 825-9111PECOS EnrollmentBased on the most recent information from CMS, provider Chiharu Ito is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1699151043Provider TypeIndividualFull NameIto, ChiharuCredentialN.P.GenderFemaleSole ProprietorNoEnumeration Date8/8/2015Last Updated2/17/2022Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-4054Phone(310) 825-9111FaxUnlisted FaxMailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95002792CaliforniaCode363LA2100XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense95002792California