Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC 27227 | CA |
NPI | 1104048156 |
---|---|
Provider Name | Dr. Eric Hiroshi Fuji |
First Address | Los Altos, CA 94022-1351 |
Second Address | Los Altos, CA 94022-1351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 26/02/2015 |