Individual
LESLIE FUJIKO SHIGEMASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2212 E 4TH ST STE 301, SANTA ANA, CA 92705-3873
(714) 628-3242
Mailing address
2212 E 4TH ST STE 301, SANTA ANA, CA 92705-3873
(714) 628-3242
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00709620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901-8202
CERTIFIED DIABETES ED.
CA
01
—
709620
DIETETIC REGISTRATION
CA
Enumeration date
03/09/2007
Last updated
10/07/2022
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