Individual
THOMAS G. HIROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24407 CALLE DE LA LOUISA STE 100, LAGUNA HILLS, CA 92653-3650
(949) 581-0555
(949) 581-7555
Mailing address
24407 CALLE DE LA LOUISA STE 100, LAGUNA HILLS, CA 92653-3650
(949) 310-5700
(310) 373-0600
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G666760
—
CA
Enumeration date
06/13/2006
Last updated
03/05/2021
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