Provider Demographics
NPI:1346406618
Name:FUTURECARE MEDICAL ASSOCIATES IPA INC
Entity Type:Organization
Organization Name:FUTURECARE MEDICAL ASSOCIATES IPA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FADEEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-739-5959
Mailing Address - Street 1:7872 WALKER ST
Mailing Address - Street 2:STE 211
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1796
Mailing Address - Country:US
Mailing Address - Phone:714-739-5959
Mailing Address - Fax:714-739-5974
Practice Address - Street 1:7872 WALKER ST
Practice Address - Street 2:STE 211
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1796
Practice Address - Country:US
Practice Address - Phone:714-739-5959
Practice Address - Fax:714-739-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty