Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN ROY ETNYRE, MD
ActiveDR. ETHAN ROY ETNYRE, MD is a Family Medicine healthcare provider located in OCEANO, California. NPI 1225021777 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · OCEANO, CA
Registration Details
- NPI Number
- 1225021777
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2005 (20.955189080146 yrs)
- Last Updated
- Nov 7, 2017
- License
-
G073939 (CA)
Practice Information
- Address
-
2120 CIENAGA STOCEANO, CA, 934459016Browse CA providers · Browse ZIP 93445
- Phone
- 8059942100
- Fax
- 8059942197
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in OCEANO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KAREN S MIKUNI | MD | 1497748958 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.