Provider Demographics
NPI:1154120616
Name:CALENDULA MEDICAL P.C.
Entity type:Organization
Organization Name:CALENDULA MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:FUNSCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-771-4986
Mailing Address - Street 1:25044 PEACHLAND AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5730
Mailing Address - Country:US
Mailing Address - Phone:661-383-7136
Mailing Address - Fax:661-383-7136
Practice Address - Street 1:25044 PEACHLAND AVE STE 110
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5730
Practice Address - Country:US
Practice Address - Phone:661-383-7136
Practice Address - Fax:661-383-7136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty