| Dr Ethan Jeremy Breen, DO | |
|
901 Oak Park Blvd, Pismo Beach, CA 93449-3408 | |
| (805) 489-2205 | |
| Not Available |
| Full Name | Dr Ethan Jeremy Breen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 901 Oak Park Blvd, Pismo Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922357003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A13057 (California) | Primary |
| 207Q00000X | Family Medicine | 266939 (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Jeremy Breen, DO 901 Oak Park Blvd, Pismo Beach, CA 93449-3408 Ph: (805) 489-2205 | Dr Ethan Jeremy Breen, DO 901 Oak Park Blvd, Pismo Beach, CA 93449-3408 Ph: (805) 489-2205 |
David Ruiz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Shauna Lynch, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 | |
Dr. Frederick W. Thom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd., Med Plus Medical Center, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Johannes A. Haar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Dewey Sandberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449 Phone: 805-474-2600 Fax: 805-474-2607 | |
Dr. Karen Myrl Ramos Goodman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 | |
Dr. Michael R. Velarde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 877 Oak Park Blvd, Pismo Beach, CA 93449 Phone: 805-474-8450 Fax: 805-474-8454 |