SearchCalifornia207Q00000X

Ethan Breen, D.O

NPI 1922357003 · on the registry since 2012 · sole proprietor

Practice

Address
901 Oak Park Blvd
Pismo Beach, CA 93449
Phone
(805) 489-2205
Organisation at this address
Occuprime Pc
Spearman Md Inc.
Perry Patel Dds,Inc
Scott Robertson Md Inc
Slo Psychological Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
CA, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California