Provider Demographics
NPI:1235391798
Name:FUJII, SCOTT KOJI (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:KOJI
Last Name:FUJII
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6403 COYLE AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0363
Mailing Address - Country:US
Mailing Address - Phone:916-965-4000
Mailing Address - Fax:916-965-4813
Practice Address - Street 1:6403 COYLE AVE STE 170
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0363
Practice Address - Country:US
Practice Address - Phone:916-965-4000
Practice Address - Fax:916-965-4813
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116074207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A116074OtherCA PHYSICIAN/SURGEON LICENSE
CA4292600001OtherDME SUPPLIER NUMBER