Individual
LAUREN FUKUYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15454 GALE AVE STE F, HACIENDA HEIGHTS, CA 91745-1500
(626) 330-1538
Mailing address
15454 GALE AVE STE F, HACIENDA HEIGHTS, CA 91745-1500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23819
CA
Other
Enumeration date
03/06/2019
Last updated
08/25/2022
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