Individual ProviderBrian Isamu HirotaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address710 N Euclid St, Suite 214, Anaheim, CA 92801-4115(714) 517-2238PECOS EnrollmentBased on the most recent information from CMS, provider Brian Isamu Hirota does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1639227937Provider TypeIndividualFull NameHirota, Brian IsamuTitleMr.CredentialRPTGenderMaleSole ProprietorNoEnumeration Date1/5/2007Last Updated1/13/2012Contact InformationPractice LocationPractice Address710 N Euclid St, Suite 214, Anaheim, CA 92801-4115Phone(714) 517-2238Fax(714) 490-0220Mailing LocationMailing Address710 N Euclid St, Suite 214, Anaheim, CA 92801-4115Phone(714) 517-2238Fax(714) 490-0220Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT5618California