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AVANTI SPORTS MEDICINE & FITNESS NPI 1275988040


NPI Information

NPI: 1275988040
Provider Name: AVANTI SPORTS MEDICINE & FITNESS
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
175 N REDWOOD DR
SUITE 275
SAN RAFAEL, CA
ZIP 94903
Phone: (800) 704-0028
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AVANTI SPORTS MEDICINE & FITNESS is a sports medicine physical medicine rehabilitation in San Rafael, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. AVANTI SPORTS MEDICINE & FITNESS NPI is 1275988040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

175 N REDWOOD DR
SUITE 275
SAN RAFAEL, CA
ZIP 94903-972
Phone: (800) 704-0028

The provider's authorized official is Sonia D Bell .
The authorized official title is President and has the following contact phone number (415) 363-0466.

The enumeration date for this NPI number is 4/29/2016 and was last updated on 4/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports MedicineA85402CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11922138528OTHERINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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