NPI

Ethan Gentile

NPI 1669900130

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2017-05-30
Last updated
2017-05-30

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Specialties

Licenses

License CA
Number not in the file

Location

Practice location
6621 E Pacific Coast Hwy
City
Long Beach CA
Postal code
90803-4200
Phone
(562) 270-6344

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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