LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
NPI 1316411549
Psychiatry & Neurology - Addiction Medicine in Grover Beach, CA
- Organization
- Psychiatry & Neurology
- Addiction Medicine
About LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
This page provides the complete NPI Profile along with additional information for Lags Spine And Sportscare Medical Centers, Inc., a provider established in Grover Beach, California operating as a Psychiatry & Neurology, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1316411549 assigned on January 2019. The practitioner's primary taxonomy code is 2084A0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Lags Spine And Sportscare Medical Centers, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Amy D'amato (Contracts Manager)
- NPI
- 1316411549 Verify this NPI
- Provider Name
- LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
- Entity Type
- Organization
- Location Address
- 592 S 13TH ST GROVER BEACH, CA 93433
- Location Phone
- (805) 473-6510
- Location Fax
- (805) 473-6516
- Mailing Address
- 218 N I ST LOMPOC, CA 93436
- Mailing Phone
- (805) 736-7886
- Mailing Fax
- (805) 736-7867
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2019
- Last Update Date
- 03-06-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Medicine
- Taxonomy Code
- 2084A0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 163WP0808X | Nursing Service Providers | Registered Nurse |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GROVER BEACH, CA 93433
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316411549, enumerated as an "organization" on January 22, 2019.
The provider is located at 592 S 13TH ST GROVER BEACH, CA 93433 and the phone number is (805) 473-6510.
Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.
