Funamura, Janwyn Loy
Funamura, Janwyn Loy is an individual health care provider with primary practice located at 2320 N California St Suite 2, Stockton CA 95204-5509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Funamura, Janwyn Loy can be contacted via phone (209) 953-3705.Contact Information
Primary practice address
2320 N California St Suite 2
Stockton CA 95204-5509
Phone: (209) 953-3705
Fax: (209) 953-3700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G35135 | California |
Profile Details
| NPI number | 1093786022 |
|---|---|
| LBN Legal business name | Funamura, Janwyn Loy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093786022 | NPPES |
| California | MEDICAID | ZZZ76496Z |
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