Healthcare Provider Details

I. General information

NPI: 1174443543
Provider Name (Legal Business Name): CARLI FINK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SAN PABLO ST
LOS ANGELES CA
90033-5313
US

IV. Provider business mailing address

28537 VISTA MADERA
RANCHO PALOS VERDES CA
90275-0865
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-9960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95038775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: