| Tadao Fujiwara, M.d. Inc. | |
|
5300 Whittier Blvd Los Angeles CA 90022 | |
| (323) 980-8488 | |
| (323) 980-4848 |
| Full Name | Tadao Fujiwara, M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5300 Whittier Blvd, Los Angeles, California |
| Authorized Official Name and Position | Lily Fujiwara (ADMINISTRATOR) |
| Authorized Official Contact | 3239808488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadao Fujiwara, M.d. Inc. 5300 Whittier Blvd Los Angeles CA 90022-4015 Ph: (323) 980-8488 | Tadao Fujiwara, M.d. Inc. 5300 Whittier Blvd Los Angeles CA 90022 Ph: (323) 980-8488 |
| NPI Number | 1275795965 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 12/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275795965 | NPI | - | NPPES |
| 0A25666 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A25666 (California) | Primary |
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