MEDICARE: DR. MOTO FUJII

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	103TC0700X	Clinical Psychologist	PSY27631	CA

General Provider Information

NPI Number	:	1598192528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOTO FUJII

Provider Business Mailing Address
First Line	:	1 KINGS WAY
Second Line	:
City	:	AVENAL
State	:	CA
Zip	:	93204-9708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1141 W SHAW AVE STE 203
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3713
Country	:	US
Telephone Number	:	559-720-9003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2013
Last Update Date	:	03/11/2024

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