Provider Demographics
NPI:1871581413
Name:FINK, STEPHEN H (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:H
Last Name:FINK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 BAYPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8525
Mailing Address - Country:US
Mailing Address - Phone:949-706-1231
Mailing Address - Fax:
Practice Address - Street 1:8484 WILSHIRE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3227
Practice Address - Country:US
Practice Address - Phone:949-706-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011108207YS0123X
CA20A8297207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4509576Medicaid
510101118OtherCONTROLLED SUBSTANCE
BF2861044OtherDEA
N71040006Medicare ID - Type Unspecified
BF2861044OtherDEA