| NPI | 1689406688 |
|---|---|
| Former Legal Business Name | MOTO FUJII PSYD |
| Entity Type | Organization |
| Authorized Contact | JAYLENE BOOTH Billing 805-441-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-08-17 |
| Last Update Date | 2024-08-17 |