# ADVANCED PHYSICAL MEDICINE & REHAB GROUP, INC.

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

## Provider details

- **NPI number:** 1972685493
- **Authorized official:** RICHARD LAVIGNA DPM (OWNER, VICE PRESIDENT)
- **Authorized official phone:** (510) 465-3668

## Contact information

- **Practice address:** 300 GRAND AVE, OAKLAND, CA 94610-4826
- **Practice address phone:** (510) 465-3668
- **Practice address fax:** (510) 465-1332
- **Mailing address:** 300 GRAND AVE, OAKLAND, CA 94610-4826
- **Mailing address phone:** (510) 465-3668
- **Mailing address fax:** (510) 465-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 06/04/2015