Healthcare Provider Details

I. General information

NPI: 1285667808
Provider Name (Legal Business Name): AUBURN PAIN REHABILITATION MEDICAL CTR.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3272 FORTUNE CT
AUBURN CA
95602-7847
US

IV. Provider business mailing address

3272 FORTUNE CT
AUBURN CA
95602-7847
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-1118
  • Fax: 530-888-8832
Mailing address:
  • Phone: 530-888-1118
  • Fax: 530-888-8832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY C REINKING
Title or Position: M.D./OWNER
Credential: D.O.
Phone: 530-888-1118