Egan, Ethan A

Egan, Ethan A is an individual health care provider with primary practice located at 5630 E Santa Ana Canyon Rd Suite 150, Anaheim CA 92807-3122. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Egan, Ethan A can be contacted via phone (714) 804-1000.

Contact Information

Primary practice address
5630 E Santa Ana Canyon Rd Suite 150 Anaheim CA 92807-3122
Phone: (714) 804-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A134845 California
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X A134845 California
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A134845 California

Profile Details

NPI number 1649405283
LBN Legal business name Egan, Ethan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2009
Last updated Sep 10th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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