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NPI Code Detail

MEDICARE: CHELSEA FUJITAKI RDN

MEDICARE: CHELSEA FUJITAKI RDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86130748CA

General Provider Information

NPI Number : 1144827510
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA FUJITAKI RDN
Provider Business Mailing Address
First Line : 3547 S BARRINGTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-2829
Country : US
Telephone Number : 310-948-5633
Fax Number :
Provider Business Practice Location Address
First Line : 3547 S BARRINGTON AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-2829
Country : US
Telephone Number : 310-948-5633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2020
Last Update Date : 10/08/2020

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Directions to “ CHELSEA FUJITAKI RDN” Practice Location

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