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

Ethan Dizon

Individual provider Community Health Worker · NPI 1245162460

Ethan Dizon is a Community Health Worker in Palm Desert, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

41550 Eclectic St
Palm Desert, CA 92260-1967
Phone: (760) 299-5181
Fax: (877) 214-4220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1245162460
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address41550 Eclectic St, Palm Desert, CA 92260-1967

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