Katherine Fundora

NPI #1508425281 in Burbank, California

Provider Information

NPI Number: 1508425281
Entity Type: Individual
Name: Katherine Fundora
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 507 E CYPRESS AVE FRNT
City: Burbank
State: California
ZIP Code: 91501-3237
Phone: (661) 210-8905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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