Provider Demographics
NPI:1881212066
Name:FUJIMOTO, HILDA ARACELI (FNP-BC)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:ARACELI
Last Name:FUJIMOTO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7315 LEESCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-2625
Mailing Address - Country:US
Mailing Address - Phone:909-641-3647
Mailing Address - Fax:
Practice Address - Street 1:18370 BURBANK BLVD STE 204
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2851
Practice Address - Country:US
Practice Address - Phone:818-342-0793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily