Provider Demographics
NPI:1578829024
Name:FINFROCK, MINDY MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:MINDY
Middle Name:MICHELE
Last Name:FINFROCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 AVOCADO AVE STE 709
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8714
Mailing Address - Country:US
Mailing Address - Phone:949-759-1720
Mailing Address - Fax:
Practice Address - Street 1:4968 BOOTH CIR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3360
Practice Address - Country:US
Practice Address - Phone:949-387-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53631208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics