Healthcare Provider Details

I. General information

NPI: 1891949467
Provider Name (Legal Business Name): R.A. BATTIE M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73730 HIGHWAY 111 SUITE 1
PALM DESERT CA
92260-4018
US

IV. Provider business mailing address

73730 HIGHWAY 111 SUITE 1
PALM DESERT CA
92260-4018
US

V. Phone/Fax

Practice location:
  • Phone: 760-568-1000
  • Fax: 760-568-6889
Mailing address:
  • Phone: 760-568-1000
  • Fax: 760-568-6889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberA23910
License Number StateCA

VIII. Authorized Official

Name: DR. RAYMOND BATTIE
Title or Position: OWNER
Credential: M.D.
Phone: 760-568-1000