Billy Sefo Faumuina III
Rehabilitation Practitioner in Sacramento, CA. Individual provider (NPI-1).
NPI number1982134516
StatusActive
Last updated in NPPESMay 29, 2025
Details
- NPI
- 1982134516
- Entity type
- Individual (NPI-1)
- Name
- Mr. Billy Sefo Faumuina III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Certification date
- May 29, 2025
- Last updated
- May 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2150 Stockton BlvdSacramento, CA 95817-1337
Phone 916-591-1730
Mailing address
2003 Henry Long BlvdStockton, CA 95206-6152
Phone 510-695-1882
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