MEDICARE: CLAIRE EIKO FUTENMA D.P.M.

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	213E00000X	Podiatrist	E4093A	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508838251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE EIKO FUTENMA D.P.M.

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	:	626-898-9667

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	:	626-898-9667

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	03/12/2025

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