IndividualActive
Philip Ettedgui, PHARMD
NPI 1013569565 · Pharmacist · Los Angeles, CA
Philip Ettedgui, PHARMD is a Pharmacist provider in Los Angeles, CA (NPI 1013569565).
Provider details
- NPI number
- 1013569565
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 49611 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5060 W Sunset Blvd Ste C
Los Angeles, CA 90027-5872
Phone: (323) 667-1111
Fax: (323) 667-1131
Street-level locationGet directions
Mailing address
12137 Tiara St
Valley Village, CA 91607-1118
Additional practice locations (2)
- 2519 W Burbank BlvdBurbank, CA 91505-2302Phone: (818) 736-5290Fax: (818) 736-5276
- 18625 Sherman Way Ste 107Reseda, CA 91335-4187Phone: (818) 881-2998Fax: (818) 881-2996
Registry dates
- Enumerated
- 2019-07-15
- Last updated
- 2019-07-15
Frequently asked questions
- What is Philip Ettedgui's NPI number?
- Philip Ettedgui's National Provider Identifier (NPI) is 1013569565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Philip Ettedgui's specialty?
- Philip Ettedgui is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Philip Ettedgui located?
- Philip Ettedgui's practice location on file with NPPES is 5060 W Sunset Blvd Ste C, Los Angeles, CA 90027-5872.
- What is Philip Ettedgui's phone number?
- The practice phone number listed in the NPPES registry for Philip Ettedgui is (323) 667-1111.
- Is Philip Ettedgui's NPI active?
- Yes — Philip Ettedgui's NPI (1013569565) is active in the NPPES registry as of the last update on 2019-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.