Hirota, Misako
Hirota, Misako is an individual health care provider with primary practice located at 135 Civic Center Dr Ste 102 , National City CA 91950-4357. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Hirota, Misako can be contacted via phone (619) 474-4695.Contact Information
Primary practice address
135 Civic Center Dr Ste 102
National City CA 91950-4357
Phone: (619) 474-4695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 35117 | California |
Profile Details
| NPI number | 1790782811 |
|---|---|
| LBN Legal business name | Hirota, Misako |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Aug 10th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790782811 | NPPES |
| California | MEDICAID | G92697-01 |
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