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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TERUYA, THEODORE HIROSHI       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 630 RAYMOND AVE
STE 204
PASADENA CA 91105

Address last updated on 2/4/2024
Phone #: (626) 486-0336
Fax #:
County: NOT OKLAHOMA
License: 37953
Dated: 4/6/2021
Expires: 4/1/2025
Temp. Lic. Issued: 3/18/2021
Temp. Lic. Expires: 5/13/2021
License Type: Medical Doctor
Specialty: Vascular Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF HI J A BURNS SCH MED, HONOLULU HI 96822
Graduated: 5 / 1995
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF SURGERY - Vascular Surgery - General
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
630 RAYMOND AVE
STE 204
PASADENA CA 91105

Phone #: (626) 486-0336
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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