Provider Demographics
NPI:1821548561
Name:FINCH, RHODORA MALIGLIG
Entity Type:Individual
Prefix:
First Name:RHODORA
Middle Name:MALIGLIG
Last Name:FINCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RHODORA
Other - Middle Name:REYES
Other - Last Name:MALIGLIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, NP
Mailing Address - Street 1:6097 MOUNT OLYMPUS DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-1958
Mailing Address - Country:US
Mailing Address - Phone:510-881-0446
Mailing Address - Fax:
Practice Address - Street 1:6097 MOUNT OLYMPUS DR
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-1958
Practice Address - Country:US
Practice Address - Phone:510-881-0446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95000486363LF0000X
CA3368364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics