Wilson Fung MD INC

NPI #1154613024 in Camarillo, California

Provider Information

NPI Number: 1154613024
Entity Type: Organization
Organization Name: Wilson Fung MD INC
Primary Specialty: General Practice
Enumeration Date: May 10, 2011
Last Updated: May 10, 2011

Practice Location

Address: 2412 N PONDEROSA DR
Address 2: B103
City: Camarillo
State: California
ZIP Code: 93010-2373
Phone: (805) 484-1190

Authorized Official

Name: HOLLY LANDIS
Title: OFFICE MANAGER
Phone: (805) 484-1190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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