Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA FUNKHOUSER, M.D.
ActiveNeurodevelopmental Disabilities · LOMA LINDA, CA
Registration Details
- NPI Number
- 1710067251
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2006 (19.513171949891 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G70416 (CA)
Practice Information
- Address
-
11370 ANDERSON STSTE.B-100LOMA LINDA, CA, 923543450Browse CA providers · Browse ZIP 92354
- Phone
- 9095582848
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.