Organization
AVANTI SPORTS MEDICINE & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONIA D BELL MD (PRESIDENT)
(415) 363-0466
Entity
Organization
Contact information
Practice address
175 N REDWOOD DR, SUITE 275, SAN RAFAEL, CA 94903-1972
(800) 704-0028
Mailing address
219 BRANNAN ST, SUITE A, SAN FRANCISCO, CA 94107-4030
(415) 363-0466
(415) 859-9265
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A85402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922138528
INDIVIDUAL NPI
—
Enumeration date
04/29/2016
Last updated
04/29/2016
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