Provider Demographics
NPI:1528647104
Name:FINCH, ROBERT MITCHELL II (PA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MITCHELL
Last Name:FINCH
Suffix:II
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 1/2 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1308
Mailing Address - Country:US
Mailing Address - Phone:678-438-5491
Mailing Address - Fax:
Practice Address - Street 1:834 1/2 5TH ST
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-1308
Practice Address - Country:US
Practice Address - Phone:678-438-5491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant