LAURA FUNKHOUSER M.D. – NPI #1710067251
Pediatrics

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

LAURA FUNKHOUSER is a physician located in LOMA LINDA, CA. NPPES has assigned the NPI number 1710067251 to LAURA FUNKHOUSER on October 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neurodevelopmental Disabilities

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAURA FUNKHOUSER below.

NPI Profile for
LAURA FUNKHOUSER

NPI Number
1710067251
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAURA FUNKHOUSER
Credentials
M.D.
Primary location
11370 ANDERSON ST
STE.B-100
LOMA LINDA, CA 92354-3450
Phone: (909) 558-2848 Fax:
Mailing address
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone: (909) 558-3111 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for LAURA FUNKHOUSER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G704160
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities (Primary)
CA G70416

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.