Healthcare Provider Details

I. General information

NPI: 1740721984
Provider Name (Legal Business Name): FUTURENET TECHNOLOGIES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 VALLEY VISTA DR
DIAMOND BAR CA
91765-3956
US

IV. Provider business mailing address

1320 VALLEY VISTA DR
DIAMOND BAR CA
91765-3956
US

V. Phone/Fax

Practice location:
  • Phone: 800-923-4258
  • Fax: 909-396-4001
Mailing address:
  • Phone: 800-923-4258
  • Fax: 909-396-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Y00000X
TaxonomyHealth Information Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: JUN XU
Title or Position: CMO
Credential: M.D., PH.D.
Phone: 800-923-4258