Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 5101011108 | MI |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 20A8297 | CA |
NPI | 1871581413 |
---|---|
Provider Name | Dr. Stephen H Fink |
First Address | Newport Beach, CA 92660-8525 |
Second Address | Beverly Hills, CA 90211-3227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 15/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4509576 | (05) | MI |
510101118 | CONTROLLED SUBSTANCE (01) | |
BF2861044 | DEA (01) | |
G37874 | (02) |