Provider Demographics
NPI:1134140684
Name:FUJITA, SACHI ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SACHI
Middle Name:ANNE
Last Name:FUJITA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 LOMITA BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4887
Mailing Address - Country:US
Mailing Address - Phone:310-530-9893
Mailing Address - Fax:310-530-5756
Practice Address - Street 1:3440 LOMITA BLVD STE 340
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4887
Practice Address - Country:US
Practice Address - Phone:310-530-9893
Practice Address - Fax:310-530-5756
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice