JONATHAN ELIAS ETTINGER (NPI# 1255869210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255869210 |
| Entity Type | Individual |
| Full Name | JONATHAN ELIAS ETTINGER |
| Credential | BA |
| Practice Address |
11600 Wilshire Blvd Ste 412 Los Angeles CA 90025-1785 |
| Practice Telephone | (310) 933-4088 |
| Mailing Telephone | 3109334088 |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11600 WILSHIRE BLVD STE 412 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285162347 | Helena Vissing | Psychologist | 11600 Wilshire Blvd Ste 412, Los Angeles, CA 90025-1785 | 2017-06-01 |
| 1487273116 | Heather Mazzei | Social Worker | 11600 Wilshire Blvd Ste 412, Los Angeles, CA 90025-1785 | 2020-04-13 |
| 1093358327 | Fiona Nottingham | Marriage & Family Therapist | 11600 Wilshire Blvd Ste 412, Los Angeles, CA 90025-1785 | 2019-10-18 |
| 1033615166 | Kenneth Marc Sabel | Psychologist | 11600 Wilshire Blvd Ste 412, Los Angeles, CA 90025-1785 | 2018-04-05 |
| 1063941326 | Rebecca Doppelt | Marriage & Family Therapist | 11600 Wilshire Blvd Ste 412, Los Angeles, CA 90025-1785 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588135487 | Lisa Marie Rulli | Specialist/Technologist | 12012 Wilshire Blvd Ste 203, Los Angeles, CA 90025-1203 | 2018-12-17 |
| 1659446250 | Stephen Frank Figoni | Specialist/Technologist | 11301 Wilshire Blvd, Pm&rs (117), Los Angeles, CA 90073-1003 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497371645 | Sleep Technology Specialists, LLC. | Specialist/Technologist | 4108 Crooked Stick Ln, Corona, CA 92883-0616 | 2020-06-24 |
| 1376166116 | Tammy Crawford | Specialist/Technologist | 3459 Fairview Dr, Vista, CA 92084-1019 | 2020-05-27 |
| 1689200990 | Aunika Stratton | Specialist/Technologist | 456 S Catalina St, Ventura, CA 93001-3627 | 2020-03-18 |
| 1275179244 | Richard Anthony Mendoza | Specialist/Technologist | 3123 Pearlwood Dr, Lancaster, CA 93536-4715 | 2019-11-25 |
| 1942869466 | Joshua Aaron Ruelas | Specialist/Technologist | 2448 Nutwood Ave Apt F30, Fullerton, CA 92831-5431 | 2019-06-08 |
| 1174086888 | Jamila Patrice Clark | Specialist/Technologist | 715 W Milling St Unit 405, Lancaster, CA 93534-3173 | 2019-04-09 |
| 1659861185 | Derriea Mcglothern | Specialist/Technologist | 23126 Rider St, Perris, CA 92570 | 2018-05-10 |
| 1720529365 | John Prior | Specialist/Technologist | 39658 Mission Blvd, Fremont, CA 94539-3000 | 2017-03-15 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1497139539 | Blue Pearl Project | Specialist/Technologist | 23690 Bundy Canyon Rd, Wildomar, CA 92595-7588 | 2015-07-18 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on JONATHAN ELIAS ETTINGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.