Healthcare Provider Details

I. General information

NPI: 1720913189
Provider Name (Legal Business Name): MALIA KIMI FUJITA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 STEVENS AVE STE 314
SOLANA BEACH CA
92075-2069
US

IV. Provider business mailing address

94-1101 KUHAO ST
WAIPAHU HI
96797-5411
US

V. Phone/Fax

Practice location:
  • Phone: 858-299-5150
  • Fax: 858-755-5201
Mailing address:
  • Phone: 808-271-8506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310084
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: