Healthcare Provider Details

I. General information

NPI: 1821400557
Provider Name (Legal Business Name): DAVID FINKEL M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11847 GORHAM AVE #413
LOS ANGELES CA
90049-5424
US

IV. Provider business mailing address

11847 GORHAM AVE #413
LOS ANGELES CA
90049-5424
US

V. Phone/Fax

Practice location:
  • Phone: 310-717-3707
  • Fax: 310-472-2024
Mailing address:
  • Phone: 310-717-3707
  • Fax: 310-472-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberNONE
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number3710431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: