Basic Information
Provider Information
NPI: 1245379270
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINK
FirstName: CHRISTOPHER
MiddleName: AARON
NamePrefix:  
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2025 SOQUEL AVE
Address2:  
City: SANTA CRUZ
State: CA
PostalCode: 950621323
CountryCode: US
TelephoneNumber: 8314234111
FaxNumber:  
Practice Location
Address1: 2025 SOQUEL AVE
Address2:  
City: SANTA CRUZ
State: CA
PostalCode: 950621323
CountryCode: US
TelephoneNumber: 8314234111
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/06/2007
LastUpdateDate: 10/11/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0206XMD2008-0174NMY Allopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
208000000XA108701CAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0206XA108701CAN Allopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology

No ID Information.


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