MEDICARE: CHIBICHANCORP

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
1	2251X0800X	Orthopedic Physical Therapist	36534	CA

General Provider Information

NPI Number	:	1184020638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIBICHANCORP

Provider Business Mailing Address
First Line	:	2745 CANYON VIEW CIR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-7575
Country	:	US
Telephone Number	:	909-957-0557
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 3RD ST STE 101
Second Line	:
City	:	NORCO
State	:	CA
Zip	:	92860-2672
Country	:	US
Telephone Number	:	951-777-2178
Fax Number	:	951-797-6855

Authorized Official
Title or Position	:	PHYSICAL THERAPIST AND OWNER
Name	:	DR. MATTHEW HARU FUJITA
Credential	:	PT, DPT, OCS
Telephone Number	:	909-957-0557

Provider Enumeration Date	:	11/11/2014
Last Update Date	:	01/06/2026

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Directions to “CHIBICHANCORP ” Practice Location

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