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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