Healthcare Provider Details

I. General information

NPI: 1275093353
Provider Name (Legal Business Name): REBECCA FUJIMURA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3917 SPRING GROVE AVE
CINCINNATI OH
45223-3302
US

IV. Provider business mailing address

3917 SPRING GROVE AVE
CINCINNATI OH
45223-3302
US

V. Phone/Fax

Practice location:
  • Phone: 513-357-7600
  • Fax: 513-357-7638
Mailing address:
  • Phone: 513-357-7600
  • Fax: 513-357-7638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number180310
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.152291
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: