Provider Demographics
NPI:1144033218
Name:FINTEL, AARON DAVID
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:DAVID
Last Name:FINTEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 BECERRA WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4049
Mailing Address - Country:US
Mailing Address - Phone:530-300-5265
Mailing Address - Fax:916-293-5652
Practice Address - Street 1:3446 BECERRA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4049
Practice Address - Country:US
Practice Address - Phone:916-359-1355
Practice Address - Fax:916-293-5652
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA342701590310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility