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

Dr. Charles Vincent Ettari, MD

Individual provider Psychiatry Physician · NPI 1629096631

Dr. Charles Vincent Ettari, MD is a Psychiatry Physician in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (619) 277-9887
Fax: (801) 253-9831
Show map & directions

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 number1629096631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 23, 2019

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