MEDICARE: CLAIRE E. FUTENMA, DPM, INC.

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
1	261QP1100X	Podiatric Clinic/Center

General Provider Information

NPI Number	:	1730676958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAIRE E. FUTENMA, DPM, INC.

Provider Business Mailing Address
First Line	:	131 N EL MOLINO AVE STE 230
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1877
Country	:	US
Telephone Number	:	626-788-6651
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 N EL MOLINO AVE STE 230
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91101-1877
Country	:	US
Telephone Number	:	626-788-6651
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	CLAIRE FUTENMA
Credential	:
Telephone Number	:	626-788-6651

Provider Enumeration Date	:	04/13/2018
Last Update Date	:	04/13/2018

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