Organization
LJ WOLFF MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J WOLFF MD (PHYSICIAN/OWNER)
(916) 451-5603
Entity
Organization
Contact information
Practice address
5301 F STREET, SUITE 111, SACRAMENTO, CA 95819-3220
(916) 451-5603
(916) 452-1733
Mailing address
5301 F STREET, SUITE 111, SACRAMENTO, CA 95819-3220
(916) 451-5603
(916) 452-1733
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G34846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588613749
INDIVIDUAL NPI
—
05
—
OOG348460
—
CA
Enumeration date
04/29/2008
Last updated
08/22/2008
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