Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICSON MUTSUO HIROSE, PA
ActiveERICSON MUTSUO HIROSE, PA is a Medical Physician Assistant healthcare provider located in FRESNO, California. NPI 1003484650 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FRESNO, CA
Registration Details
- NPI Number
- 1003484650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2021 (5.1979638866123 yrs)
- Last Updated
- Nov 1, 2022
- Licenses
-
61760 (CA)61760 (CA)61760 (CA)
Practice Information
- Address
-
2823 FRESNO STFRESNO, CA, 937211324Browse CA providers · Browse ZIP 93721
- Phone
- 5594432682
- Fax
- 5594432681
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in FRESNO, CA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL D GINSBERG | P.A. | 1649276619 |
| MS. MIRIAM LEVITT | PA-C | 1447247820 |
| MRS. CORALEE RUTH KONING | PA-C | 1992793525 |
| MRS. DONNA LEE MAU | P.A.-C | 1669457552 |
| NICOLE LEIGH FOSTER | PA-C | 1871579664 |
| LINDA TELLO GUTIERREZ | PA | 1437136348 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.