MEDICARE: RRT ENTERPRISES LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	910000152	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033103205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RRT ENTERPRISES LP

Provider Business Mailing Address
First Line	:	400 EXCHANGE STE 140
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-1343
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3233 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-3640
Country	:	US
Telephone Number	:	323-734-9122
Fax Number	:	323-734-1427

Authorized Official
Title or Position	:	MANAGING MEMBER OF GENERAL PARTNER
Name	:	MR. STEPHEN E. REISSMAN
Credential	:
Telephone Number	:	310-574-3733

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	08/30/2022

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Directions to “RRT ENTERPRISES LP ” Practice Location

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