Dr. Raymond Funada
Dentist - General Practice
2000 Forest Ave Ste C
San Jose
, California 95128-4831
Dr. Raymond Funada
Dentist - General Practice
2000 Forest Ave Ste C
San Jose
, California 95128-4831
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Raymond Funada
- 2000 Forest Ave Ste C
- San Jose, CA
- Zip : 95128-4831
- Phone :
Second Address
- Dr. Raymond Funada
- 2000 Forest Ave Ste C
- San Jose, CA
- Zip : 95128-4831
- Phone : (408) 287-5900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 37965 | CA |
| Y | 213EG0000X | General Practice | 37965 | CA |
National Provider Identifier
| NPI | 1003919275 |
|---|---|
| Provider Name | Dr. Raymond Funada |
| First Address | San Jose, CA 95128-4831 |
| Second Address | San Jose, CA 95128-4831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 609294 | UNITED CONCORDIA (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.