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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