Provider Demographics
NPI:1134762677
Name:FUJINO, LINDA E (AMFT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:E
Last Name:FUJINO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6695 E PACIFIC COAST HWY STE 135
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4235
Mailing Address - Country:US
Mailing Address - Phone:562-431-5100
Mailing Address - Fax:562-431-3560
Practice Address - Street 1:6695 E PACIFIC COAST HWY STE 135
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4235
Practice Address - Country:US
Practice Address - Phone:562-431-5100
Practice Address - Fax:562-431-3560
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108935106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist