MR. EHREN LIETZ IDC
NPI 1073773800
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Ehren Lietz's NPI number?

The NPI number for Ehren Lietz is 1073773800. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Q: What is Ehren Lietz's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Ehren Lietz was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2008

35000 GUADALCANAL AVE, SAN DIEGO, CA 92140(619) 524-8397 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mr. Ehren Lietz Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EHREN LIETZ IDC (NPI 1073773800) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1073773800

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. EHREN LIETZCredential: IDC

Location Address35000 GUADALCANAL AVESan Diego, CA 92140-5599

Mailing Address35000 Guadalcanal AveSan Diego, CA 92140-5599 · (619) 524-8397

Phone(619) 524-8397

Sole ProprietorNo

Enumeration DateJune 16, 2008

✔ NPI 1073773800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

35000 GUADALCANAL AVE, San Diego, CA 92140

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Other Identifiers 1

OtherIDCIdc

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR WELLS WARD D.P.M.

Podiatrist (Sports Medicine)

35000 GUADALCANAL AVE, MCRD BRANCH MEDICAL CLINIC
SAN DIEGO, CA 92140

San Diego County (619) 524-8313

YESENIA ASTORGA PA-C

Physician Assistant

35000 GUADALCANAL AVE, BMC MCRD
SAN DIEGO, CA 92140

San Diego County (619) 524-4045

BRIAN JAMES JACKSON IDC

Military Health Care Provider (Independent Duty Corpsman)

35000 GUADALCANAL AVE
SAN DIEGO, CA 92140

San Diego County (619) 524-4045

ANNE DASILVA PA-C

Physician Assistant

35000 GUADALCANAL AVE, BRANCH HEALTH CLINIC MCRD
SAN DIEGO, CA 92140

San Diego County (619) 524-0807

VERONYKA T YOUNG IDC

Military Health Care Provider (Independent Duty Corpsman)

35000 GUADALCANAL AVE
SAN DIEGO, CA 92140

San Diego County (619) 524-4045

MR. DOUGLAS LEE FAISON PA-C

Physician Assistant (Medical)

35000 GUADALCANAL AVE, BRANCH MEDICAL CLINIC, MCRD BLD 596
SAN DIEGO, CA 92140

San Diego County (619) 524-0789

MR. BRIAN PATRICK LIVINGSTONE A.T.,C.

Specialist/Technologist (Athletic Trainer)

35000 GUADALCANAL AVE
SAN DIEGO, CA 92140

San Diego County (619) 524-8313

MR. DONALD REID ROSARIO IDC

Military Health Care Provider (Independent Duty Corpsman)

35000 GUADALCANAL AVE, BLDG 596
SAN DIEGO, CA 92140

San Diego County (619) 524-4045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ehren Lietz's NPI number?

The NPI number for Ehren Lietz is 1073773800. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Ehren Lietz located?

Ehren Lietz practices at 35000 Guadalcanal Ave, San Diego, CA 92140. The listed phone number is (619) 524-8397.

What is Ehren Lietz's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Ehren Lietz was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.