Thomas G Hirose, M.D. Apc Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

G66676 Issued in CA

Legal business name

THOMAS G HIROSE, M.D. APC LABORATORY

Practice address

647 Camino de Los Mares
Suite 223
San Clemente, CA 92673-2807

Phone

(949) 487-5100

Fax

(949) 487-7065

NPI assigned

Aug 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas G. Hirose, M.D,NPI 1114960861

Title

President

Phone

(949) 487-5100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas G. Hirose, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Laguna Hills, CA
  • NPI 1114960861
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1477786291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "SUITE 223",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732807",
            "telephone_number": "949-487-5100",
            "fax_number": "949-487-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "SUITE 223",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732807",
            "telephone_number": "949-487-5100",
            "fax_number": "949-487-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G HIROSE, M.D. APC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "HIROSE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-487-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "G66676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mainstream Group, Inc
• The Sober Spot, LLC
• Theodore Vandam M.D.
• Therapro
• Cornel Francoise Thiersen, AMFT
• Barbara Marie Thomas, PSY.D.
• Christina Joy Thompson, DMD
• Donna Jo Thompson, HHP
• Russell Joseph Thompson, D.C.
• Scott G Thompson, ED.S, PPS

• Clinical Medical Laboratory in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.