Individual
HITOMI SUGIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 650-3350
Mailing address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 650-3350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/24/2022
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