Individual provider · Type 1 NPI

Jack Leonard Funamura, MD

Diagnostic Radiology Physician · Stockton, CA

NPI number 1407915739 Active

Practice location

2320 N California St, Suite 2
Stockton, CA 95204-5509

Fax (209) 466-2600

Mailing address

2320 North California Street, Suite 2
Stockton, CA 95204-5509

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XG35134 (CA)
Diagnostic Radiology Physician Primary 2085R0202XG35134 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1407915739

Jack Leonard Funamura, MD's National Provider Identifier is 1407915739, issued on Dec 6, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Stockton, CA. The record was last updated on Sep 11, 2025.