MEDICARE: DR. JONATHAN REITMAN M.D.

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	207RA0401X	Addiction Medicine (Internal Medicine) Physician	A66975	CA

General Provider Information

NPI Number	:	1922157320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN REITMAN M.D.

Provider Business Mailing Address
First Line	:	8484 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3227
Country	:	US
Telephone Number	:	310-360-7690
Fax Number	:	310-360-7694

Provider Business Practice Location Address
First Line	:	8484 WILSHIRE BLVD
Second Line	:	SUITE 200
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3227
Country	:	US
Telephone Number	:	310-360-7690
Fax Number	:	310-360-7694

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	04/28/2016

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