Provider Demographics
NPI:1558597534
Name:LDL APHERESIS SERVICES
Entity Type:Organization
Organization Name:LDL APHERESIS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:HIROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-373-5700
Mailing Address - Street 1:24445 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6562
Mailing Address - Country:US
Mailing Address - Phone:310-373-5700
Mailing Address - Fax:310-373-0600
Practice Address - Street 1:24445 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6562
Practice Address - Country:US
Practice Address - Phone:310-373-5700
Practice Address - Fax:310-373-0600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THOMAS G. HIROSE, M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Single Specialty