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Organization
ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU
Active
Organization
ADVANCED PYHSICAL MEDICINE AND REHABILITAION GROPU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LAVIGNA DPM (OWNER)
(510) 465-1108
Entity
Organization
Contact information
Practice address
5880 COMMERCE BLVD, ROHNERT PARK, CA 94928
(707) 338-6722
Mailing address
5880 COMMERCE BLVD, ROHNERT PARK, CA 94928
(707) 338-6722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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