Individual
DR. JOHN LOUIS ETCHEVERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5201 TRUXTUN AVE, BAKERSFIELD, CA 93309-0421
(661) 328-5565
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E40990
BLUE SHIELD
—
01
—
P00904698
RAILROAD MEDICARE
CA
Enumeration date
09/27/2006
Last updated
04/21/2025
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