Individual
SHAROLYN S HIRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19580 MAYFIELD CIRCLE, HUNTINGTON BEACG, CA 92648-6618
(920) 303-8700
Mailing address
19580 MAYFIELD CIR, HUNTINGTON BEACH, CA 92648-6618
(714) 536-9860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55373
KS
367500000X
Certified Registered Nurse Anesthetist
55373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042761
CRNA CERT
CA
01
—
145048
BCBS
KS
05
—
200364780A
—
KS
01
—
P00155113
RR MEDICARE GROUP CQ2302
—
Enumeration date
05/09/2006
Last updated
02/28/2011
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