Charles V. Ettari, M.D., Inc. in Del Mar - Psychiatry

Charles V. Ettari, M.D., Inc. - NPI 1629098520

Charles V. Ettari, M.D., Inc. is a Psychiatry in Del Mar, California. Charles V. Ettari, M.D., Inc. practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Charles V. Ettari, M.D., Inc. is 1629098520. The last update date is 2015-03-04.

Charles V. Ettari, M.D., Inc.'s current location address is Po Box 2216, Del Mar, California. You can contact this provider via phone number 6192779887 and fax number 8012539831. The mailing address for Charles V. Ettari, M.D., Inc. is Po Box 2216, Del Mar, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Charles V. Ettari, M.D., Inc.
Address Po Box 2216, Del Mar, California
Phone Number 6192779887
Fax Number 8012539831
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Daugherty Lynn Shelly
Telephone Number 6192779887

NPI Number Detail

NPI Number 1629098520
Provider Enumeration Date 2006-07-20
Last Updated Date 2015-03-04

Provider Mailing Address Detail

Address Po Box 2216
City Del Mar
State California (CA)
Post Code 920141516
Phone Number 6192779887
Fax Number 8012539831

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No G16786
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OOG167860 CA --

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FAQs about Charles V. Ettari, M.D., Inc.

What is the unique identifier code issued to Charles V. Ettari, M.D., Inc. by the Centers for Medicare & Medicaid Services?

The Charles V. Ettari, M.D., Inc. has been assigned the NPI (National Provider Identifier) 1629098520. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Charles V. Ettari, M.D., Inc.?

The Charles V. Ettari, M.D., Inc. is physically situated at Po Box 2216, in the city of Del Mar, state of CA, with the postal code 920141516.

What is Charles V. Ettari, M.D., Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles V. Ettari, M.D., Inc. is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.

When did Charles V. Ettari, M.D., Inc. receive its 1629098520 assignment?

The Charles V. Ettari, M.D., Inc. was assigned its 1629098520 on 2006-07-20, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Charles V. Ettari, M.D., Inc. most recently updated or revised?

The information pertaining to Charles V. Ettari, M.D., Inc., including its address, specialty, and other relevant details, was last updated or revised on 2015-03-04.

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