| Doctor Name: | TAD FUJIOKA |
| NPI Number: | 1336373026 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | AFE28110 |
| Business Practice Address: | 16842 Baruna Ln., Huntington Beach, CA - 926493020 |
| Business Phone Number: | 7148463125 |
| Business Fax Number: | 7148467814 |
| Mailing Address: | 16842 Baruna Ln.,, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926493020 |
| Phone Number: | 7148463125 |
| Fax Number: | 7148467814 |
| NPI Enumeration Date: | 05/08/2009 |
| NPI Last Update Date: | 05/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | AFE28110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |