Provider Demographics
NPI:1861656142
Name:RATTNER, MEJER N/A
Entity Type:Individual
Prefix:MR
First Name:MEJER
Middle Name:N/A
Last Name:RATTNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MATTRESS
Other - Middle Name:
Other - Last Name:MAKERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2727 ADAMS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-1349
Mailing Address - Country:US
Mailing Address - Phone:619-284-3485
Mailing Address - Fax:619-284-3485
Practice Address - Street 1:2727 ADAMS AVE STE B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-1349
Practice Address - Country:US
Practice Address - Phone:619-284-3485
Practice Address - Fax:619-284-3485
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAH 125762332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies