Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | A51413 | CA |
NPI | 1396946224 |
---|---|
Provider Name | Ramiro Futalan SR. |
First Address | Downey, CA 90240-2277 |
Second Address | Downey, CA 90240-2277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |