Healthcare Provider Details

I. General information

NPI: 1710823992
Provider Name (Legal Business Name): FUTURENOMIC RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41550 ECLECTIC ST
PALM DESERT CA
92260-1967
US

IV. Provider business mailing address

41550 ECLECTIC ST
PALM DESERT CA
92260-1967
US

V. Phone/Fax

Practice location:
  • Phone: 415-424-3467
  • Fax:
Mailing address:
  • Phone: 415-424-3467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: SHASU ADON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-424-3467