Healthcare Provider Details

I. General information

NPI: 1104092311
Provider Name (Legal Business Name): MICAELA FINLAYSON ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27001 LA PAZ RD STE 372
MISSION VIEJO CA
92691-5502
US

IV. Provider business mailing address

2769 W BROADWAY
EAGLE ROCK CA
90041-1038
US

V. Phone/Fax

Practice location:
  • Phone: 949-388-8117
  • Fax: 949-900-6980
Mailing address:
  • Phone: 949-388-8117
  • Fax: 949-900-6980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: