1. Home
  2. Directory
  3. California
  4. Carson
  5. Specialist
  6. NPI Profile

MR. ETHAN M KREISWIRTH MA, ATC
NPI 1336249978
Specialist in Carson, CA

Active since September 24, 2006
CAL STATE DOMINGUEZ HLS, 1000 E. VICTORIA ST., CARSON, CA 90747(310) 243-3894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Ethan M Kreiswirth Ma, Atc NPPES

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

MR. ETHAN M KREISWIRTH MA, ATC (NPI 1336249978) is an individual specialist in Carson, California and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1336249978
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. ETHAN M KREISWIRTHCredential: MA, ATC
Location AddressCAL STATE DOMINGUEZ HLS, 1000 E. VICTORIA ST.Carson, CA 90747-0001
Mailing Address5361 W 126th StHawthorne, CA 90250-4128 · (310) 243-3894
Phone(310) 243-3894
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336249978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
CAL STATE DOMINGUEZ HLS, Carson, CA 90747
Open in Google Maps ↗

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 Ethan Kreiswirth's NPI number?

The NPI number for Ethan Kreiswirth is 1336249978. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Ethan Kreiswirth located?

Ethan Kreiswirth practices at Cal State Dominguez Hls 1000 E. Victoria St., Carson, CA 90747. The listed phone number is (310) 243-3894.

What is Ethan Kreiswirth's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ethan Kreiswirth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.