Individual
DR. NATHANIEL STANLEY FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-5177
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
A179922
CA
Other
Enumeration date
05/10/2016
Last updated
01/27/2023
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