Individual
LISA FUJIMOTO-YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 SAN PABLO ST., SUITE 2000, LOS ANGELES, CA 90017
(323) 442-5762
(323) 442-5301
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5762
(323) 442-5301
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16075
CA
Other
Enumeration date
04/11/2008
Last updated
11/27/2023
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