Individual provider · Type 1 NPI

Ethan Cvitanic

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1780504183 Active

Practice location

426 S San Pedro St
Los Angeles, CA 90013-2119

Call (213) 626-6411 Map

Mailing address

12070 Telegraph Rd
Santa Fe Springs, CA 90670-3771

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 1780504183

Ethan Cvitanic's National Provider Identifier is 1780504183, issued on Jul 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 16, 2026.