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

Dr. Ethan Jeremy Breen, DO

Individual provider Family Medicine Physician · NPI 1922357003

Dr. Ethan Jeremy Breen, DO is a Family Medicine Physician in Pismo Beach, California. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

901 Oak Park Blvd
Pismo Beach, CA 93449-3408
Phone: (805) 489-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A13057 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 266939 (NY)

Record details

NPI number1922357003
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 5, 2012
Last updated in NPPESFebruary 3, 2014
Mailing address901 Oak Park Blvd, Pismo Beach, CA 93449-3408

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