=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508838251
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CLAIRE EIKO FUTENMA D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2006
-----------------------------------------------------
Last Update Date | 03/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 131 N EL MOLINO AVE STE 230
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91101-1877
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-788-6651
-----------------------------------------------------
Fax | 626-898-9667
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 131 N EL MOLINO AVE STE 230
-----------------------------------------------------
City | PASADENA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91101-1877
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-788-6651
-----------------------------------------------------
Fax | 626-898-9667
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | E4093A
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------