Individual
JON DAVID HIRASUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 N. WAYTE LANE, FRESNO, CA 93701-2124
(559) 459-5721
(559) 459-3867
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G32351
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G32351
CA
207RP1001X
Pulmonary Disease Physician
Primary
G32351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G323510
—
CA
Enumeration date
07/18/2006
Last updated
06/30/2014
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