Individual
MR. ERIK RADDATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E REDLANDS BLVD STE 285, REDLANDS, CA 92373-4721
(909) 307-5777
Mailing address
440 CAJON ST, REDLANDS, CA 92373-5955
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/26/2007
Last updated
04/04/2025
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