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Wilson Fung Md Inc
General Practice Physician in Camarillo, California
NPI 1154613024

Wilson Fung Md Inc is a General Practice Physician based in Camarillo, CA. Wilson Fung Md Inc practices in Camarillo, CA. The NPI Number for Wilson Fung Md Inc is 1154613024 and holds a License No. G69969 (California).

The current practice location address for Wilson Fung Md Inc is 2412 N Ponderosa Dr, Camarillo, CA and can be reached out via phone at 805-484-1190 and via fax at 805-484-1154.

Location: 2412 N Ponderosa Dr, Camarillo, CA, 93010-2373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154613024
Provider Name
Wilson Fung Md Inc
Credential
Provider Entity Type
Organization
Address
2412 N Ponderosa Dr, Camarillo, CA, 93010-2373
Phone Number
805-484-1190
Fax Number
805-484-1154
Provider Enumeration Date
05/10/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2412 N Ponderosa Dr
City
Camarillo
State
California
Zip
93010-2373
Phone Number
805-484-1190
Fax Number
805-484-1154
person
Provider Business Mailing Address Details
Address
2412 N Ponderosa Dr
City
Camarillo
State
California
Zip
93010-2373
Phone Number
805-484-1190
Fax Number
805-484-1154
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G69969 (California)
Definition
Definition to come...
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