Provider Demographics
NPI:1346339512
Name:R&R PHYSICAL MEDICINE AND REHABILITATION MEDICAL CLINIC, INC
Entity type:Organization
Organization Name:R&R PHYSICAL MEDICINE AND REHABILITATION MEDICAL CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-786-3222
Mailing Address - Street 1:729 SUNRISE AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4542
Mailing Address - Country:US
Mailing Address - Phone:916-786-3222
Mailing Address - Fax:916-786-6636
Practice Address - Street 1:9727 ELK GROVE FLORIN RD STE 170
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2265
Practice Address - Country:US
Practice Address - Phone:916-714-9150
Practice Address - Fax:916-714-9152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01649ZMedicare ID - Type Unspecified