Funkhouser, Laura

Funkhouser, Laura is an individual health care provider with primary practice located at 11370 Anderson St Ste.B-100, Loma Linda CA 92354-3450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Funkhouser, Laura can be contacted via phone (909) 558-2848.

Contact Information

Primary practice address
11370 Anderson St Ste.B-100 Loma Linda CA 92354-3450
Phone: (909) 558-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X G70416 California

Profile Details

NPI number 1710067251
LBN Legal business name Funkhouser, Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710067251 NPPES
California MEDICAID 00G704160

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