Provider Demographics
NPI:1457773608
Name:FINN, IAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:
Last Name:FINN
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 1:12786 SALMON RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3553
Mailing Address - Country:US
Mailing Address - Phone:312-953-6880
Mailing Address - Fax:
Practice Address - Street 1:12786 SALMON RIVER RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-3553
Practice Address - Country:US
Practice Address - Phone:312-953-6880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124367207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology