Angela Ettenger MD

NPI 1033186614 - Dermatology - 207N00000X

NPI Details
NPI 1033186614
Gender Female
Enumeration Date 03/02/2006
Last Updated 10/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
4955 VAN NUYS BLVD
516
SHERMAN OAKS CA, 91403, US
Phone (818) 789-6296
Fax (818) 789-0374
Business Location
4955 VAN NUYS BLVD
516
SHERMAN OAKS CA, 91403, US
Phone (818) 789-6296
Fax (818) 789-0374
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G28757
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According to our database, Angela Ettenger MD NPI is 1033186614, taxonomy code is 207N00000X and license number is G28757, license state is located at California. Angela Ettenger MD physically located at 4955 Van Nuys Blvd, Sherman Oaks CA, 91403. NPI Number Angela Ettenger MD has the Individual type.

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1033186614 NPI number is provided on an as is basis without warranty of any kind. 1033186614 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Ettenger MD are for informational purposes only.