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

Jonathan Etkin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174976047

Jonathan Etkin is a Student in an Organized Health Care Education/Training Program in San Mateo, California. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2600 S El Camino Real
San Mateo, CA 94403-2380
Phone: (650) 373-0777
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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

Record details

NPI number1174976047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 15, 2016
Last updated in NPPESJuly 15, 2016

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