Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 15209 | CA |
NPI | 1588721476 |
---|---|
Provider Name | Robin L. Futoran |
First Address | Studio City, CA 91604-2406 |
Second Address | Studio City, CA 91604-2406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 10/01/2008 |