Individual
ETHAN KUNSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 764-4624
Mailing address
16200 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 764-4624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A152429
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2016
Last updated
01/27/2023
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