MEDICARE: DR. JEFFREY PAUL RATTET MD

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	207N00000X	Dermatology Physician	01053564A	IN
2	207N00000X	Dermatology Physician	G32586	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	:	1427199785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY PAUL RATTET MD

Provider Business Mailing Address
First Line	:	29798 HAUN ROAD
Second Line	:	SUITE 204
City	:	MENIFEE
State	:	CA
Zip	:	92586-6541
Country	:	US
Telephone Number	:	909-886-6904
Fax Number	:	909-881-6424

Provider Business Practice Location Address
First Line	:	399 E HIGHLAND AVE
Second Line	:	#524
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-3878
Country	:	US
Telephone Number	:	909-886-6904
Fax Number	:	909-881-6424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	09/26/2017

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