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

Ethan Merrill Petersen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821665936

Ethan Merrill Petersen is a Student in an Organized Health Care Education/Training Program in Torrance, California. Licensed in New Mexico. Registered with an NPI since 2021.

Licensed in
NM
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1000 W Carson St
Torrance, CA 90502-2059
Phone: (424) 306-4000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1821665936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Other providers in Torrance