Rettenmaier, Mark A
Rettenmaier, Mark A is an sole proprietor health care provider with primary practice located at 1010 W La Veta Ave Ste 775, Orange CA 92868-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Rettenmaier, Mark A can be contacted via phone (949) 705-9015.Contact Information
Primary practice address
1010 W La Veta Ave Ste 775
Orange CA 92868-4306
Phone: (949) 705-9015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | A32692 | California |
Profile Details
| NPI number | 1134166697 |
|---|---|
| LBN Legal business name | Rettenmaier, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Dec 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134166697 | NPPES |
| California | MEDICAID | 00A326920 |
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