# TMA PATHOLOGY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THOMAS G. HIROSE,M.D. APC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154643286
- **Legal business name:** THOMAS G. HIROSE,M.D. APC
- **Authorized official:** DR. THOMAS G HIROSE M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (310) 373-5700

## Contact information

- **Practice address:** 647 CAMINO DE LOS MARES, 223, SAN CLEMENTE, CA 92673-2825
- **Practice address phone:** (949) 487-5100
- **Practice address fax:** (949) 487-7065
- **Mailing address:** 647 CAMINO DE LOS MARES, 223, SAN CLEMENTE, CA 92673-2825
- **Mailing address phone:** (949) 487-5100
- **Mailing address fax:** (949) 487-7065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | G66676 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | G66676 | CA | Yes |

## Other

- **Enumeration date:** 02/16/2010
- **Last updated:** 02/16/2010