Provider Demographics
NPI:1386839157
Name:FIJMAN, LUISA B (MD)
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:B
Last Name:FIJMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1770
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91944-1770
Mailing Address - Country:US
Mailing Address - Phone:858-886-7222
Mailing Address - Fax:858-886-7290
Practice Address - Street 1:9834 GENESEE AVE STE 427
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1264
Practice Address - Country:US
Practice Address - Phone:858-886-7222
Practice Address - Fax:858-886-7290
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC503942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry