Hirose, Thomas G.

Hirose, Thomas G. is an individual health care provider with primary practice located at 24407 Calle De La Louisa Ste 100 , Laguna Hills CA 92653-3650. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Hirose, Thomas G. can be contacted via phone (949) 581-0555.

Contact Information

Primary practice address
24407 Calle De La Louisa Ste 100 Laguna Hills CA 92653-3650
Phone: (949) 581-0555
Fax: (949) 581-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X G66676 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G66676 California

Profile Details

NPI number 1114960861
LBN Legal business name Hirose, Thomas G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 5th, 2021 - about 5 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 1114960861 NPPES
California MEDICAID 00G666760

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