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

Ethan Stiffelman

Individual provider Case Manager/Care Coordinator · NPI 1639967383

Ethan Stiffelman is a Case Manager/Care Coordinator in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

17555 Ventura Blvd
Encino, CA 91316-3890
Phone: (818) 305-1952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25-QMHS-I-00137 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1639967383
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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