Basic Information
Provider Information
NPI: 1215094941
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINN
FirstName: HOWARD
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5486
Address2:  
City: ORANGE
State: CA
PostalCode: 928635486
CountryCode: US
TelephoneNumber: 8185500900
FaxNumber: 5052931524
Practice Location
Address1: 1711 W TEMPLE ST
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900265421
CountryCode: US
TelephoneNumber: 2139896100
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/02/2007
LastUpdateDate: 05/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XG69175CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
WG69175D01CAINDIVIUAL PPINOTHER


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