Individual
GARY L. ETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6345 BALBOA BLVD, BLDG III, SUITE 250, ENCINO, CA 91316-1519
(818) 344-3937
(818) 344-1229
Mailing address
6345 BALBOA BLVD, BLDG III, SUITE 250, ENCINO, CA 91316-1519
(818) 344-3937
(818) 344-1229
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OPT5519T
CA
Other
Enumeration date
04/06/2006
Last updated
01/08/2008
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