Wunderlich Balloch and Fung

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G77362 Issued in CA

Legal business name

WUNDERLICH BALLOCH AND FUNG

Practice address

3801 Las Posas Rd
Suite 106
Camarillo, CA 93010-1427

Phone

(805) 482-1416

Fax

(805) 389-3047

NPI assigned

Jul 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jody Lynn Balloch, MD

Title

Owner

Phone

(805) 482-1416

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831128073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD",
            "address_2": "SUITE 106",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101427",
            "telephone_number": "805-482-1416",
            "fax_number": "805-389-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 LAS POSAS RD",
            "address_2": "SUITE 106",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101427",
            "telephone_number": "805-482-1416",
            "fax_number": "805-389-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WUNDERLICH BALLOCH AND FUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLOCH",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-482-1416",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuko Workings, DDS
• Kathryn Laurel Worthington, MS
• Ruth Wrigglesworth, RBT
• Chad M Wright, DDS, MSD
• Marc Elliott Wright, DO
• Michael Erik Wygant, DDS
• Xinfang Xiao, PH.D, O.M.D., L.AC.
• Shuai Xu
• Patricia Yabu, LCSW
• Vania Badua Yague, M.A.

• Family Medicine Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.