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
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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