Charles V. Ettari, M.d., Inc.
NPI #1629098520 in La Jolla, California
Provider Information
- NPI Number
- 1629098520
- Entity Type
- Organization
- Organization Name
- Charles V. Ettari, M.d., Inc.
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Mar 4, 2015
Practice Location
- Address
- 9834 GENESEE AVE
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1223
- Phone
- (619) 277-9887
Authorized Official
- Name
- MS. SHELLY LYNN DAUGHERTY
- Title
- OFFICE MANAGER
- Phone
- (619) 277-9887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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