Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles V Ettari, MD, Inc

Organization Psychiatry Physician · NPI 1629098520

Charles V Ettari, MD, Inc provides Psychiatry Physician services in LA Jolla, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9834 Genesee Ave
LA Jolla, CA 92037-1223 Not confirmed with CMS for 11 years — call before visiting
Phone: (619) 277-9887
Fax: (801) 253-9831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence G16786 (CA)

Record details

NPI number1629098520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Daugherty — Office Manager · (619) 277-9887
NPI enumeratedJuly 20, 2006
Last updated in NPPESMarch 4, 2015
Mailing addressPo Box 2216, Del Mar, CA 92014-1516

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