Organization
THOMAS G HIROSE, M.D. APC LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G. HIROSE M.D, (PRESIDENT)
(949) 487-5100
Entity
Organization
Contact information
Practice address
647 CAMINO DE LOS MARES, SUITE 223, SAN CLEMENTE, CA 92673-2807
(949) 487-5100
(949) 487-7065
Mailing address
647 CAMINO DE LOS MARES, SUITE 223, SAN CLEMENTE, CA 92673-2807
(949) 487-5100
(949) 487-7065
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
G66676
CA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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