Provider Demographics
NPI:1801007174
Name:FINKLER, JON G (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:G
Last Name:FINKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 SUNRISE BLVD
Mailing Address - Street 2:SUITE #250
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670-4374
Mailing Address - Country:US
Mailing Address - Phone:916-851-8400
Mailing Address - Fax:916-851-9117
Practice Address - Street 1:2200 SUNRISE BLVD
Practice Address - Street 2:SUITE #250
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4374
Practice Address - Country:US
Practice Address - Phone:916-851-8400
Practice Address - Fax:916-851-9117
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC37064208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC37064OtherMED LICENSE
A36474Medicare UPIN