Organization
COLIMA INTERNAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTON LAWRENCE FUTTERMAN M.D. (PRESIDENT)
(562) 789-7722
Entity
Organization
Contact information
Practice address
15141 WHITTIER BLVD, #260, WHITTIER, CA 90603-2135
(562) 789-7722
(562) 693-7016
Mailing address
15141 WHITTIER BLVD, #260, WHITTIER, CA 90603-2135
(562) 789-7722
(562) 693-7016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A20876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275689184
NPI INDIVIDUAL
CA
01
—
95-25882549
TAX ID
CA
Enumeration date
03/26/2007
Last updated
10/20/2008
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