Individual
HENRY ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2705 TELLER RD, THOUSAND OAKS, CA 91320-1190
(805) 262-0038
Mailing address
42044 VILLAGE 42, CAMARILLO, CA 93012-8902
(646) 648-2459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7866
CA
Other
Enumeration date
09/01/2006
Last updated
12/27/2022
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