Mark A Rettenmaier
Gynecologic Oncologist
1010 W La Veta Ave Ste 775
Orange
, California 92868-4306
Mark A Rettenmaier
Gynecologic Oncologist
1010 W La Veta Ave Ste 775
Orange
, California 92868-4306
(949) 831-1624
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Mark A Rettenmaier
- 1010 W La Veta Ave Ste 775
- Orange, CA
- Zip : 92868-4306
- Fax : (949) 831-1624
- Phone : (714) 749-2330
Second Address
- Mark A Rettenmaier
- 1010 W La Veta Ave Ste 775
- Orange, CA
- Zip : 92868-4306
- Phone : (949) 705-9015
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | A32692 | CA |
National Provider Identifier
| NPI | 1134166697 |
|---|---|
| Provider Name | Mark A Rettenmaier |
| First Address | Orange, CA 92868-4306 |
| Second Address | Orange, CA 92868-4306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 20/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A326920 | (05) | CA |
| A26893 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.