Individual provider · Type 1 NPI

Ethan Eissler Pritikin

Student in an Organized Health Care Education/Training Program · Thousand Oaks, CA

NPI number 1114786878 Active

Practice location

215 W Janss Rd
Thousand Oaks, CA 91360-1847

Call (805) 852-9216 Map

Mailing address

185 Magee Ave
Mill Valley, CA 94941-4533

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114786878

Ethan Eissler Pritikin's National Provider Identifier is 1114786878, issued on Mar 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Mar 15, 2024.