Charles Clark Ertl, PHD - Psychologist in San Diego, CA

Charles Clark Ertl, PHD is a Psychologist based in San Diego, California. Charles Clark Ertl is licensed to practice in California (license number PSY15479) and his current practice location is 10981 San Diego Mission Rd, Suite 114, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (619) 286-2687.

NPI number for Charles Clark Ertl is 1356375729 and his current mailing address is 4852 Lila Dr, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356375729.

Contact Information

Charles Clark Ertl, PHD
10981 San Diego Mission Rd, Suite 114,
San Diego, CA 92108-2448
(619) 286-2687
(619) 286-2687

Map and Direction




Healthcare Provider's Profile

Full NameCharles Clark Ertl
GenderMale
SpecialityPsychologist
Location10981 San Diego Mission Rd, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356375729
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Charles Clark Ertl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356375729NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY15479 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Clark Ertl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Clark Ertl, PHD
4852 Lila Dr,
San Diego, CA 92115-1910

Ph: (619) 286-2687
Charles Clark Ertl, PHD
10981 San Diego Mission Rd, Suite 114,
San Diego, CA 92108-2448

Ph: (619) 286-2687

Reviews and Comments


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