Funamura, Jack Leonard

Funamura, Jack Leonard is an individual health care provider with primary practice located at 2320 N California St Suite 2, Stockton CA 95204-5509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Funamura, Jack Leonard can be contacted via phone (209) 466-2000.

Contact Information

Primary practice address
2320 N California St Suite 2 Stockton CA 95204-5509
Phone: (209) 466-2000
Fax: (209) 466-2600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G35134 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G35134 California

Profile Details

NPI number 1407915739
LBN Legal business name Funamura, Jack Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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