Individual
LENORA VERNE FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1783 EL CAMINO REAL, MILLS PENINSULA MEDICAL CENTER, BURLINGAME, CA 94010
(415) 665-3046
Mailing address
69 CASTENADA AVE, SAN FRANCISCO, CA 94116-1406
(415) 665-3046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G31254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G312541
—
CA
Enumeration date
02/05/2007
Last updated
03/19/2021
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