Individual ProviderDonald EtkesMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1416 Westwood Blvd Ste 201, Los Angeles, CA 90024-4954(310) 979-0245PECOS EnrollmentBased on the most recent information from CMS, provider Donald Etkes does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700067659Provider TypeIndividualFull NameEtkes, DonaldGenderMaleSole ProprietorYesEnumeration Date11/20/2007Last Updated11/20/2007Contact InformationPractice LocationPractice Address1416 Westwood Blvd Ste 201, Los Angeles, CA 90024-4954Phone(310) 979-0245FaxUnlisted FaxMailing LocationMailing Address11693 San Vicente Blvd # 491, Los Angeles, CA 90049-5105Phone(310) 979-0245FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC22173California