Individual
STANLEY FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23456 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-4716
(310) 375-8700
Mailing address
23456 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-4716
(310) 375-8700
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT295191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT295191
LICENSE
CA
Enumeration date
08/29/2018
Last updated
08/29/2018
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