IndividualActive
Robert Ettenger, M.D.
NPI 1043233661 · Pediatric Nephrology Physician · Los Angeles, CA
Provider details
- NPI number
- 1043233661
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C36820 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
10833 Le Conte Ave
12-441 Mdcc
Los Angeles, CA 90095-3075
Phone: (310) 206-3952
Fax: (310) 206-0209
Street-level locationGet directions
Mailing address
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.