Healthcare Provider Details

I. General information

NPI: 1952715351
Provider Name (Legal Business Name): APRIL YAEKO FUJIHARA KAHN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 05/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 N HARVARD AVE
CLOVIS CA
93611-7099
US

IV. Provider business mailing address

1051 N HARVARD AVE
CLOVIS CA
93611-7099
US

V. Phone/Fax

Practice location:
  • Phone: 559-917-1943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number14937
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: