Provider Demographics
NPI:1841563590
Name:DEAN R. HIRABAYASHI, M.D., A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DEAN R. HIRABAYASHI, M.D., A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HIRABAYASHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-362-3364
Mailing Address - Street 1:291 GEARY ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1800
Mailing Address - Country:US
Mailing Address - Phone:415-326-3364
Mailing Address - Fax:415-362-3366
Practice Address - Street 1:291 GEARY ST
Practice Address - Street 2:SUITE 700
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1800
Practice Address - Country:US
Practice Address - Phone:415-326-3364
Practice Address - Fax:415-362-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-10
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29742261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44141Medicare UPIN