Jack Leonard Funamura in Stockton - Diagnostic Radiology
Jack Leonard Funamura - NPI 1407915739
Jack Leonard Funamura is a Diagnostic Radiology in Stockton, California. Jack Leonard Funamura practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jack Leonard Funamura is 1407915739. The last update date is 2007-07-08.
Jack Leonard Funamura's current location address is 2320 North California Street, Stockton, California. You can contact this provider via phone number 2094662000 and fax number 2094662600. The mailing address for Jack Leonard Funamura is 2320 North California Street, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Leonard Funamura |
|---|---|
| Address | 2320 North California Street, Stockton, California |
| Phone Number | 2094662000 |
| Fax Number | 2094662600 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407915739 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2320 North California Street |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952045509 |
| Phone Number | 2094662000 |
| Fax Number | 2094662600 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G35134 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Leonard Funamura by the Centers for Medicare & Medicaid Services?
The Jack Leonard Funamura has been issued the NPI (National Provider Identifier) 1407915739 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jack Leonard Funamura's physical address?
The Jack Leonard Funamura is physically located at 2320 North California Street, in the city of Stockton, CA, with the postal code 952045509.
What is Jack Leonard Funamura's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Leonard Funamura is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407915739 to Jack Leonard Funamura?
The Centers for Medicare & Medicaid Services assigned the 1407915739 to Jack Leonard Funamura on 2006-12-06.
As of what date was the information pertaining to Jack Leonard Funamura, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jack Leonard Funamura, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1316940851
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