Healthcare Provider Details

I. General information

NPI: 1275533499
Provider Name (Legal Business Name): PAUL FINKEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 W JANSS RD SUITE 110
THOUSAND OAKS CA
91360-1848
US

IV. Provider business mailing address

PO BOX 940838
SIMI VALLEY CA
93094-0838
US

V. Phone/Fax

Practice location:
  • Phone: 805-496-6051
  • Fax: 805-496-6785
Mailing address:
  • Phone: 805-433-7777
  • Fax: 805-433-7607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG25112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: