LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC. NPI 1174087274

NPI Information

NPI: 1174087274
Provider Name: LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-8581
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LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. is an addiction medicine psychiatry neurology in San Luis Obispo, CA. The provider is 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 LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC. NPI is 1174087274. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1223 HIGUERA ST STE 101
SAN LUIS OBISPO, CA
ZIP 93401-167
Phone: (805) 541-8581
Fax: (805) 541-8584

The provider's authorized official is Amy D'amato .
The authorized official title is Contracts Manager and has the following contact phone number (805) 264-3388.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 1/23/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
2	1041C0700X	Social Worker	Clinical	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	Yes

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: 11/14/2023

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