# LJ WOLFF MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609041649
- **Authorized official:** DR. LARRY J WOLFF MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (916) 451-5603

## Contact information

- **Practice address:** 5301 F STREET, SUITE 111, SACRAMENTO, CA 95819-3220
- **Practice address phone:** (916) 451-5603
- **Practice address fax:** (916) 452-1733
- **Mailing address:** 5301 F STREET, SUITE 111, SACRAMENTO, CA 95819-3220
- **Mailing address phone:** (916) 451-5603
- **Mailing address fax:** (916) 452-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | G34846 | CA | Yes |

## Other

- **Enumeration date:** 04/29/2008
- **Last updated:** 08/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1588613749 | INDIVIDUAL NPI | — |
| 05 | — | OOG348460 | — | CA |