Provider Demographics
NPI:1285426494
Name:FINZELBERG, ALTA
Entity type:Individual
Prefix:
First Name:ALTA
Middle Name:
Last Name:FINZELBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92564-0266
Mailing Address - Country:US
Mailing Address - Phone:951-290-9353
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 266
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92564-0266
Practice Address - Country:US
Practice Address - Phone:951-290-9353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95359090163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health