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WILSON FUNG MD
NPI 1154613024
General Practice in Camarillo, CA

Active since May 10, 2011
2412 N PONDEROSA DR, B103, CAMARILLO, CA 93010(805) 484-1190(805) 484-1154 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Fung Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSON FUNG MD (NPI 1154613024) is a healthcare organization registered as a general practice in Camarillo, California and active in the NPI registry since May 2011. The organization lists Holly Landis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154613024
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWILSON FUNG MD INC
Location Address2412 N PONDEROSA DR, B103Camarillo, CA 93010-2373
Mailing Address2412 N Ponderosa Dr, B103Camarillo, CA 93010-2373 · (805) 484-1190 · Fax (805) 484-1154
Phone(805) 484-1190
Fax(805) 484-1154
Organization SubpartNo
Authorized OfficialHolly LandisOffice Manager · (805) 484-1190
Enumeration DateMay 10, 2011
✔ NPI 1154613024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G69969
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2412 N PONDEROSA DR, Camarillo, CA 93010
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Other Names 1

Doing Business AsWilson Fung Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS J. KANTER M.D.
Specialist
2412 N PONDEROSA DR, STE B111
CAMARILLO, CA 93010
Ventura County (805) 482-8989
ALLERGY CARE CENTER A MEDICAL CORPORATION
Specialist
2412 N PONDEROSA DR, SUITE B111
CAMARILLO, CA 93010
Ventura County (805) 482-8989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilson Fung MD Inc's NPI number?

The NPI number for Wilson Fung MD Inc is 1154613024. It was assigned to this organization in the NPPES registry on May 10, 2011. The provider is doing business as Wilson Fung MD.

Where is Wilson Fung MD Inc located?

Wilson Fung MD Inc is located at 2412 N Ponderosa Dr B103, Camarillo, CA 93010. The listed phone number is (805) 484-1190.

What is Wilson Fung MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wilson Fung MD Inc was last updated on May 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.