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NPI Code Detail

MEDICARE: FUTURENOMIC RESOURCES

MEDICARE: FUTURENOMIC RESOURCES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1710823992
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUTURENOMIC RESOURCES
Provider Business Mailing Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 415-424-3467
Fax Number :
Provider Business Practice Location Address
First Line : 41550 ECLECTIC ST
Second Line :
City : PALM DESERT
State : CA
Zip : 92260-1967
Country : US
Telephone Number : 415-424-3467
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SHASU ADON
Credential :
Telephone Number : 415-424-3467
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “FUTURENOMIC RESOURCES ” Practice Location

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