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Contact Information

GARY L ETTING, OD
6345 BALBOA BLVD
BLDG III, SUITE 250
ENCINO, CA91316-1519
 Phone: 818-344-3937
 Fax: 818-344-1229
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for GARY L ETTING · (Male)

NPI # 1912969619
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/06/2006
Last updated 01/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OPT5519T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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