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Individual

DR. HIROHITO ICHII

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7004
Mailing address
PO BOX 512347, LOS ANGELES, CA 90051-0347
(714) 456-7004

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
F5610
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F5610
2113 CERTIFICATE OF REGISTRATION
CA
Enumeration date
05/12/2010
Last updated
05/13/2010
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