Individual
TADASHI T. FUNAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(888) 988-2800
Mailing address
393 E WALNUT ST, PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
G61301
CA
Other
Enumeration date
11/29/2006
Last updated
11/29/2021
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