Funk, Julene
Funk, Julene is an individual health care provider with primary practice located at 2540 W 7Th St , Los Angeles CA 90057-3802. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Funk, Julene can be contacted via phone (213) 381-7400.Contact Information
Primary practice address
2540 W 7Th St
Los Angeles CA 90057-3802
Phone: (213) 381-7400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12014042A | Indiana |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS104577 | California |
Profile Details
| NPI number | 1851930457 |
|---|---|
| LBN Legal business name | Funk, Julene |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2019 |
| Last updated | Jul 27th, 2023 - about last year |
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 | 1851930457 | NPPES |
| Indiana | MEDICAID | 300075895 | |
| Indiana | Other | DDS104577 | |
| Indiana | Other | 12014042A |
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