Healthcare Provider Details

I. General information

NPI: 1265520019
Provider Name (Legal Business Name): VALERIE HAMAMOTO PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. VALERIE FUJII

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

441 N LAKEVIEW AVE
ANAHEIM CA
92807-3028
US

IV. Provider business mailing address

16 CAPE DANBURY
NEWPORT BEACH CA
92660-8407
US

V. Phone/Fax

Practice location:
  • Phone: 714-279-4382
  • Fax:
Mailing address:
  • Phone: 949-574-4141
  • Fax: 949-574-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: