Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ETHAN JEREMY BREEN, D.O
Active Sole ProprietorDR. ETHAN JEREMY BREEN, D.O is a Family Medicine healthcare provider located in PISMO BEACH, California. NPI 1922357003 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PISMO BEACH, CA
Registration Details
- NPI Number
- 1922357003
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2012 (13.759147155857 yrs)
- Last Updated
- Feb 3, 2014
- Licenses
-
20A13057 (CA)266939 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
901 OAK PARK BLVDPISMO BEACH, CA, 934493408Browse CA providers · Browse ZIP 93449
- Phone
- 8054892205
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PISMO BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH A. CRUZ | MD | 1598769929 |
| DR. STEVEN RICHARD SABO | MD | 1639162910 |
| DR. WENDY EVE WEISS | DO | 1609867738 |
| DR. JOHANNES A. HAAR | M.D. | 1376526657 |
| DR. MICHAEL R. VELARDE | M.D. | 1427031418 |
| DR. SCOTT E ROBERTSON | MD | 1811970437 |
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.