DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES VINCENT ETTARI, M.D.

Active Sole Proprietor

DR. CHARLES VINCENT ETTARI, M.D. is a Psychiatry healthcare provider located in LA JOLLA, California. NPI 1629096631 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · LA JOLLA, CA

Registration Details

NPI Number
1629096631
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2006 (20.074301722604 yrs)
Last Updated
Nov 23, 2019
License
G16786 (CA)
Sole Proprietor
Yes

Practice Information

Address
9888 GENESEE AVE
LA JOLLA, CA, 920371205
Browse CA providers · Browse ZIP 92037
Phone
6192779887
Fax
8012539831
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in LA JOLLA, CA

Name Credential NPI
CLAUDIO MARCELO DEMB M.D. 1730174921
SONYA HINTZ M.D. 1790774446
DR. DANIEL F. KRIPKE M.D. 1487633103
DR. JASON H BENNETT M.D. 1346211208
DR. GREGORY SMITH MCFADDEN MD 1780622431
KATHARINE N DIXON MD 1598705469
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.