Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ETHAN GENTILE
Active Sole ProprietorMR. ETHAN GENTILE is a Substance Abuse Rehabilitation Facility healthcare provider located in LONG BEACH, California. NPI 1669900130 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · LONG BEACH, CA
Registration Details
- NPI Number
- 1669900130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2017 (9.240660937307 yrs)
- Last Updated
- May 30, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
6621 E PACIFIC COAST HWYLONG BEACH, CA, 908034200Browse CA providers · Browse ZIP 90803
- Phone
- 5622706344
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in LONG BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MR. EDWIN ZELADA | — | 1922304351 |
| GABRIEL RAMIREZ | CATC-I | 1124421896 |
| ASHLEY CLARY | — | 1669907523 |
| KELLIE EASLEY | — | 1477088359 |
| MR. JACOB SOUZA | — | 1902334360 |
| JAYNA LEA ZIMMELMAN | — | 1033767801 |
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.