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Organization
WILSON FUNG MD INC
Active
Organization
WILSON FUNG MD INC
Active
Other names
Wilson Fung Md
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY LANDIS (OFFICE MANAGER)
(805) 484-1190
Entity
Organization
Contact information
Practice address
2412 N PONDEROSA DR, B103, CAMARILLO, CA 93010-2373
(805) 484-1190
(805) 484-1154
Mailing address
2412 N PONDEROSA DR, B103, CAMARILLO, CA 93010-2373
(805) 484-1190
(805) 484-1154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G69969
CA
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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