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Organization
WUNDERLICH BALLOCH AND FUNG
Active
Organization
WUNDERLICH BALLOCH AND FUNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY LYNN BALLOCH MD (OWNER)
(805) 482-1416
Entity
Organization
Contact information
Practice address
3801 LAS POSAS RD, SUITE 106, CAMARILLO, CA 93010-1427
(805) 482-1416
(805) 389-3047
Mailing address
3801 LAS POSAS RD, SUITE 106, CAMARILLO, CA 93010-1427
(805) 482-1416
(805) 389-3047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G77362
CA
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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