Provider Demographics
NPI:1083661359
Name:FINCHER, EDGAR FRANKLIN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:EDGAR
Middle Name:FRANKLIN
Last Name:FINCHER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 CHANTILLY RD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90077-2615
Mailing Address - Country:US
Mailing Address - Phone:310-472-5052
Mailing Address - Fax:310-274-5380
Practice Address - Street 1:421 N RODEO DR
Practice Address - Street 2:SUITE T-7
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4500
Practice Address - Country:US
Practice Address - Phone:310-274-5372
Practice Address - Fax:310-274-5380
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68642207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA68642AMedicare PIN