Provider Demographics
NPI:1295052710
Name:FUJIMOTO, SCOTT THOMAS (DO)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:THOMAS
Last Name:FUJIMOTO
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Gender:M
Credentials:DO
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Mailing Address - Street 1:11234 ANDERSON ST
Mailing Address - Street 2:SUITE 2605-E
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2804
Mailing Address - Country:US
Mailing Address - Phone:909-558-4370
Mailing Address - Fax:909-558-0202
Practice Address - Street 1:11234 ANDERSON ST
Practice Address - Street 2:SUITE 2605-E
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2804
Practice Address - Country:US
Practice Address - Phone:909-558-4370
Practice Address - Fax:909-558-0202
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2022-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAPPLYING2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology