Kenneth Yoichi Fujimoto, DMD is a
Dentist based in South San Gabriel, California. Kenneth Yoichi Fujimoto is licensed to practice in California (license number 30758) and his current practice location is
1300 N Potrero Grande Dr, Suite C, South San Gabriel, California. He can be reached at his office (for appointments etc.) via phone at
(626) 288-1139.
NPI number for Kenneth Yoichi Fujimoto is 1225137391 and his current mailing address is 1300 N Potrero Grande Dr, #c, South San Gabriel, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225137391.
Healthcare Provider's Profile
| Full Name | Kenneth Yoichi Fujimoto |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 1300 N Potrero Grande Dr, South San Gabriel, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225137391
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kenneth Yoichi Fujimoto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225137391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30758 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Yoichi Fujimoto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Yoichi Fujimoto, DMD
1300 N Potrero Grande Dr, #c,
South San Gabriel, CA 91770
Ph: (626) 288-1139 | Kenneth Yoichi Fujimoto, DMD
1300 N Potrero Grande Dr, Suite C,
South San Gabriel, CA 91770-4154
Ph: (626) 288-1139 |
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