Provider Demographics
NPI:1396946224
Name:FUTALAN, RAMIRO SR (MD)
Entity type:Individual
Prefix:
First Name:RAMIRO
Middle Name:
Last Name:FUTALAN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8292 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2277
Mailing Address - Country:US
Mailing Address - Phone:562-928-5007
Mailing Address - Fax:562-928-0910
Practice Address - Street 1:8292 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2277
Practice Address - Country:US
Practice Address - Phone:562-928-5007
Practice Address - Fax:562-928-0910
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51413170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics