Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255869210 Individual Practitioner Male Practitioner

Jonathan Elias Ettinger , BA

Specialist/Technologist • Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

Jonathan Ettinger, BA is a registered healthcare professional specializing in Specialist/Technologist in Los Angeles, CA. Practice services are available at 11600 WILSHIRE BLVD STE 412 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11600 Wilshire Blvd Ste 412

Los Angeles, CA 900251785

Telephone 3109334088

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Los Angeles, CA (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 225500000X

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1033615166

Doctor of Psychology (Psy.D.)

Fiona Nottingham

Marriage & Family Therapist

NPI 1093358327
NPI 1285162347

Doctor of Psychology (Psy.D.)

Heather Mazzei

Social Worker

NPI 1487273116

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2017

Registered at 11600 WILSHIRE BLVD STE 412, LOS ANGELES, CA 900251785 (Tel: (310) 933-4088)

📍
Updated Business Mailing Address June 02, 2017

Registered at 11600 WILSHIRE BLVD STE 412, LOS ANGELES, CA 900251785 (Tel: 3109334088)

👤
Provider Name / Credentials Updated June 02, 2017

Recorded as JONATHAN ETTINGER, BA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2017

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration June 02, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255869210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

11600 Wilshire Blvd Ste 412

Los Angeles, CA 900251785

Phone: 3109334088

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.