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

Ethan Gabriel Stine, DC

Individual provider Chiropractor · NPI 1922693753

Ethan Gabriel Stine, DC is a Chiropractic in Victorville, California. Graduated from Los Angeles College of Chiropractic in 2020, 6 years ago. Practices with Hd Physical Medicine a Professional Medical Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Los Angeles College of Chiropractic
Licensed in
CA
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

17330 Bear Valley Rd Ste 105
Victorville, CA 92395-7741
Phone: (760) 245-8182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC34952 (CA)

Record details

NPI number1922693753
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address17330 Bear Valley Rd Ste 105, Victorville, CA 92395-7741

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduated 2020 (6 years in practice)
Group practice Hd Physical Medicine A Professional Medical Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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