Organization
ADVANCED PHYSICAL MEDICINE & REHAB GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LAVIGNA DPM (OWNER, VICE PRESIDENT)
(510) 465-3668
Entity
Organization
Contact information
Practice address
300 GRAND AVE, OAKLAND, CA 94610-4826
(510) 465-3668
(510) 465-1332
Mailing address
300 GRAND AVE, OAKLAND, CA 94610-4826
(510) 465-3668
(510) 465-1332
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
06/04/2015
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