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 is a Psychiatry Physician 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
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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