Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G67964 | CA |
N | 207VE0102X | Reproductive Endocrinologist | G67964 | CA |
NPI | 1598704140 |
---|---|
Provider Name | Dr. Victor Y. Fujimoto |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94115-3006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 09/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G679640 | (05) | CA |
F27317 | (02) | CA |