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LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC NPI 1346570074


NPI Information

NPI: 1346570074
Provider Name: LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC

Doing Business As: LAGS WELLNESS & DIAGNOSTIC CENTER

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
201 N COLLEGE DR
SUITE 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-9581
Get Directions

LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC is a pain medicine physical medicine rehabilitation in Santa Maria, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. LAGS SPINE & SPORTSCARE CENTRAL COAST MEDICAL INC NPI is 1346570074. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lags Wellness & Diagnostic Center.

The provider's business location address is:

201 N COLLEGE DR
SUITE 101
SANTA MARIA, CA
ZIP 93454-614
Phone: (805) 925-9581
Fax: (805) 925-5625

The provider's authorized official is Francis P Lagattuta .
The authorized official title is President and has the following contact phone number (805) 925-9581.

The enumeration date for this NPI number is 12/31/2009 and was last updated on 8/13/2012.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineCALIFORNIAYes

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
19538454OTHERCALIFORNIAAETNA HEALTH -GROUP PROVIDER NUMBER
2ZZZ58838YOTHERCALIFORNIABLUESHIELD OF CA GROUP PROVIDER NUMBER
3C2476390OTHERCALIFORNIASTATE CORPORATION NUMBER
4CT861AMEDICARE PINCALIFORNIA

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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