Individual ProviderRachel OdermattGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressNaval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001(619) 532-5761PECOS EnrollmentBased on the most recent information from CMS, provider Rachel Odermatt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1407501521Provider TypeIndividualFull NameOdermatt, RachelGenderFemaleSole ProprietorYesEnumeration Date2/16/2022Last Updated3/3/2024Contact InformationPractice LocationPractice AddressNaval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001Phone(619) 532-5761FaxUnlisted FaxMailing LocationMailing AddressNaval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001Phone(619) 532-5761FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0101279337Virginia