MR. ETHAN GENTILE
NPI 1669900130
Substance Abuse Rehabilitation Facility in Long Beach, CA

Active since May 30, 2017
6621 E PACIFIC COAST HWY, LONG BEACH, CA 90803(562) 270-6344 Get Directions Write a Review

NPPES record last updated: May 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ethan Gentile NPPES

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

MR. ETHAN GENTILE (NPI 1669900130) is an individual substance abuse rehabilitation facility provider in Long Beach, California and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1669900130
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. ETHAN GENTILE
Location Address6621 E PACIFIC COAST HWYLong Beach, CA 90803-4200
Mailing Address2255 W Broadway Apt G102Anaheim, CA 92804-1369 · (714) 929-6524
Sole ProprietorYes
Enumeration DateMay 30, 2017
NPI 1669900130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6621 E PACIFIC COAST HWY, Long Beach, CA 90803

Other Providers at the Same Location NPPES 9

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

Substance Abuse Rehabilitation Facility
6621 E PACIFIC COAST HWY, SUITE 115
LONG BEACH, CA 90803
Counselor (Addiction (Substance Use Disorder))
6621 E PACIFIC COAST HWY
LONG BEACH, CA 90803
Counselor (Addiction (Substance Use Disorder))
6621 E PACIFIC COAST HWY
LONG BEACH, CA 90803
Marriage & Family Therapist
6621 E PACIFIC COAST HWY
LONG BEACH, CA 90803
Behavior Technician
6621 E PACIFIC COAST HWY
LONG BEACH, CA 90803
Substance Abuse Rehabilitation Facility
6621 E PACIFIC COAST HWY
LONG BEACH, CA 90803
Marriage & Family Therapist
6621 E PACIFIC COAST HWY, SUITE 220
LONG BEACH, CA 90803
Substance Abuse Rehabilitation Facility
6621 E PACIFIC COAST HWY, SUITE 102
LONG BEACH, CA 90803

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 Gentile's NPI number?

The NPI number for Ethan Gentile is 1669900130. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Ethan Gentile located?

Ethan Gentile practices at 6621 E Pacific Coast Hwy, Long Beach, CA 90803. The listed phone number is (562) 270-6344.

What is Ethan Gentile's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Ethan Gentile was last updated on May 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.