Healthcare Provider Details

I. General information

NPI: 1255581773
Provider Name (Legal Business Name): RYAN TODD FINLAYSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 12/15/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 EAST ST
CONCORD CA
94520-1906
US

IV. Provider business mailing address

2540 EAST ST
CONCORD CA
94520-1906
US

V. Phone/Fax

Practice location:
  • Phone: 925-682-8200
  • Fax:
Mailing address:
  • Phone: 925-682-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number32197
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberR70205
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA119483
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: