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NPI Code Detail

MEDICARE: RRT ENTERPRISES LP

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
1314000000XSkilled Nursing Facility910000077CA

General Provider Information

NPI Number : 1437143641
Entity Type Code : Organization
Provider Name (Legal Business Name) : RRT ENTERPRISES LP
Provider Business Mailing Address
First Line : 3580 WILSHIRE BLVD STE 600
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-2502
Country : US
Telephone Number : 323-330-6500
Fax Number :
Provider Business Practice Location Address
First Line : 3966 MARCASEL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4616
Country : US
Telephone Number : 310-397-2372
Fax Number : 310-397-2383
Authorized Official
Title or Position : MANAGING MEMBER OF GENERAL PARTNER
Name : MR. STEPHEN E. REISSMAN
Credential :
Telephone Number : 310-574-3733
Provider Enumeration Date : 09/01/2005
Last Update Date : 10/19/2022

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Directions to “RRT ENTERPRISES LP ” Practice Location

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