Suriya Rattana, is a
Occupational Therapist based in San Jacinto, California. Suriya Rattana is licensed to practice in California (license number OT6263) and his current practice location is
343 E Main St, Suite 107, San Jacinto, California. He can be reached at his office (for appointments etc.) via phone at
(909) 471-8865.
NPI number for Suriya Rattana is 1447674700 and his current mailing address is 15218 Summit Ave # 300-702, Fontana, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447674700.
Healthcare Provider's Profile
| Full Name | Suriya Rattana |
|---|
| Gender | Male |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 343 E Main St, San Jacinto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447674700
- Provider Enumeration Date: 02/07/2014
- Last Update Date: 02/07/2014
Medical Identifiers
Medical identifiers for Suriya Rattana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447674700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT6263 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Suriya Rattana is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Suriya Rattana,
15218 Summit Ave # 300-702,
Fontana, CA 92336-0232
Ph: (909) 471-8865 | Suriya Rattana,
343 E Main St, Suite 107,
San Jacinto, CA 92583-4214
Ph: (909) 471-8865 |
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