Individual
DR. JACK LEONARD FUNAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 N CALIFORNIA ST, SUITE 2, STOCKTON, CA 95204-5509
(209) 466-2000
(209) 466-2600
Mailing address
2320 NORTH CALIFORNIA STREET, SUITE 2, STOCKTON, CA 95204-5509
(209) 466-2000
(209) 466-2600
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G35134
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G35134
CA
Other
Enumeration date
12/06/2006
Last updated
09/11/2025
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