Healthcare Provider Details

I. General information

NPI: 1417851601
Provider Name (Legal Business Name): KATHRYN FUJITA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11980 TELEGRAPH RD STE 102
SANTA FE SPRINGS CA
90670-6087
US

IV. Provider business mailing address

11980 TELEGRAPH RD STE 102
SANTA FE SPRINGS CA
90670-6087
US

V. Phone/Fax

Practice location:
  • Phone: 562-347-2893
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number38009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: