Organization
FRONTLINE HEALTHCARE-ENDOCRINOLOGY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUNGWAH CHRIS RUIZ RN (ADMINISTRATOR)
(805) 449-1111
Entity
Organization
Contact information
Practice address
555 MARIN ST STE 120, THOUSAND OAKS, CA 91360-4102
(805) 449-1111
Mailing address
555 MARIN ST STE 120, THOUSAND OAKS, CA 91360-4102
(805) 449-1111
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
05/14/2026
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