Individual
DR. LARRY J WOLFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 F ST, SUITE 111, SACRAMENTO, CA 95819-3226
(916) 451-3400
(916) 452-1733
Mailing address
5301 F ST, SUITE 111, SACRAMENTO, CA 95819-3226
(916) 451-3400
(916) 452-1733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G34846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G348460
—
CA
01
—
1609041649
GROUP MEDICARE PIN 1609041649
CA
Enumeration date
05/08/2006
Last updated
09/24/2008
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