Provider Demographics
NPI:1730676958
Name:CLAIRE E. FUTENMA, DPM, INC.
Entity Type:Organization
Organization Name:CLAIRE E. FUTENMA, DPM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTENMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-788-6651
Mailing Address - Street 1:131 N EL MOLINO AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1877
Mailing Address - Country:US
Mailing Address - Phone:626-788-6651
Mailing Address - Fax:
Practice Address - Street 1:131 N EL MOLINO AVE STE 230
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1877
Practice Address - Country:US
Practice Address - Phone:626-788-6651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric