Provider Demographics
NPI:1801097852
Name:FURUTA, MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:FURUTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23440 HAWTHORNE BLVD
Mailing Address - Street 2:STE 220
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4768
Mailing Address - Country:US
Mailing Address - Phone:310-738-2228
Mailing Address - Fax:888-972-6233
Practice Address - Street 1:23440 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4748
Practice Address - Country:US
Practice Address - Phone:310-738-2228
Practice Address - Fax:866-506-2788
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2016-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA994912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry