Provider Demographics
NPI:1356482335
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:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:W
Authorized Official - Last Name:LAUGER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:530-477-6222
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 1:150 CATHERINE LN STE B
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5719
Practice Address - Country:US
Practice Address - Phone:530-477-6222
Practice Address - Fax:916-786-6636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty