Individual
DR. HIROSHI KAN KATSUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6357
(714) 456-5342
Mailing address
393 E WALNUT ST, PHR GROUP PROVIDER ENROLLMENT UNIT, 3RD FL, PASADENA, CA 91188
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A93331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0085140
—
CA
01
—
W14887
MEDICARE GROUP
CA
01
—
W457
PALMETTO GROUP PTAN
CA
01
—
ZZZ54082Z
BLUE SHIELD
CA
Enumeration date
02/21/2008
Last updated
12/07/2021
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