Provider Demographics
NPI:1932853322
Name:HIRAHARA MD, INC.
Entity Type:Organization
Organization Name:HIRAHARA MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MASAICHI
Authorized Official - Last Name:HIRAHARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-595-7417
Mailing Address - Street 1:11853 OLD EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-8362
Mailing Address - Country:US
Mailing Address - Phone:916-595-7417
Mailing Address - Fax:
Practice Address - Street 1:2801 K ST STE 330
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5119
Practice Address - Country:US
Practice Address - Phone:916-732-3000
Practice Address - Fax:916-732-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-05
Last Update Date:2022-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty