Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A26100 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | A26100 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A26100 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | A26100 | CA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A26100 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A26100 | CA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | A26100 | CA |
NPI | 1164484069 |
---|---|
Provider Name | Hiromu Shoji |
First Address | Riverside, CA 92503-4001 |
Second Address | Riverside, CA 92503-4001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 17/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A261000 | (05) | CA |
B65158 | (02) | CA |