Provider Demographics
NPI:1356802128
Name:J TREES RITTER D.O., INC.
Entity type:Organization
Organization Name:J TREES RITTER D.O., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JETHRO
Authorized Official - Middle Name:TREES
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:805-305-5296
Mailing Address - Street 1:PO BOX 1206
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93116-1206
Mailing Address - Country:US
Mailing Address - Phone:805-964-3838
Mailing Address - Fax:805-638-3400
Practice Address - Street 1:1250 PEACH ST STE M
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2877
Practice Address - Country:US
Practice Address - Phone:805-540-0689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J TREES RITTER D.O., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-26
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy