Individual
STEVEN D FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1105 EAST AVE, LINCOLN, CA 95648-2007
(916) 645-3890
(916) 645-1692
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC25869
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0258690
BLUE SHIELD
CA
01
—
DC0258691
BLUE SHIELD
CA
01
—
DC25869
CHIROPRACTIC LICENSE
CA
Enumeration date
02/28/2007
Last updated
03/11/2011
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