Healthcare Provider Details

I. General information

NPI: 1346406618
Provider Name (Legal Business Name): FUTURECARE MEDICAL ASSOCIATES IPA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7872 WALKER ST STE 211
LA PALMA CA
90623-1796
US

IV. Provider business mailing address

7872 WALKER ST STE 211
LA PALMA CA
90623-1796
US

V. Phone/Fax

Practice location:
  • Phone: 714-739-5959
  • Fax: 714-739-5974
Mailing address:
  • Phone: 714-739-5959
  • Fax: 714-739-5974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OMAR FADEEL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-739-5959