Donald Etkes

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC22173 Issued in CA

Practice address

1416 Westwood Blvd Ste 201
Los Angeles, CA 90024-4954

Phone

(310) 979-0245

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1700067659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 SAN VICENTE BLVD # 491",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495105",
            "telephone_number": "310-979-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 WESTWOOD BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244954",
            "telephone_number": "310-979-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETKES",
        "first_name": "DONALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC22173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kogiah Ethridge
• Kristen Ethridge, NP
• Megan Ethridge
• Aniekan Etim
• Marina Etimani-Tupua
• Mohammad R Etminan, RPH
• Jennie Laurel Tomiko Eto, MS, OTR/L
• Gianna Etoile
• Yaakov Nachum Etshalom, EMT-B
• Philip Aaron Ettedgui, PHARMD

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.