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Organization
TMA PATHOLOGY SERVICES
Active
Organization
TMA PATHOLOGY SERVICES
Active
Parent organization
THOMAS G. HIROSE,M.D. APC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS G. HIROSE,M.D. APC
Authorized official
DR. THOMAS G HIROSE M.D. (PRESIDENT/OWNER)
(310) 373-5700
Entity
Organization
Contact information
Practice address
647 CAMINO DE LOS MARES, 223, SAN CLEMENTE, CA 92673-2825
(949) 487-5100
(949) 487-7065
Mailing address
647 CAMINO DE LOS MARES, 223, SAN CLEMENTE, CA 92673-2825
(949) 487-5100
(949) 487-7065
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
G66676
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G66676
CA
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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