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LAGS SPINE & SPORTSCARE MEDICAL CENTER INC. NPI 1376625020


NPI Information

NPI: 1376625020
Provider Name: LAGS SPINE & SPORTSCARE MEDICAL CENTER, INC.
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
7375 EL CAMINO REAL
SUITE B
ATASCADERO, CA
ZIP 93422
Phone: (805) 466-5247
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LAGS SPINE & SPORTSCARE MEDICAL CENTER, INC. is a pain medicine physical medicine rehabilitation in Atascadero, 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 MEDICAL CENTER, INC. NPI is 1376625020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7375 EL CAMINO REAL
SUITE B
ATASCADERO, CA
ZIP 93422-697
Phone: (805) 466-5247
Fax: (805) 466-5246

The provider's authorized official is Francis P. Lagattuta .
The authorized official title is Md President and has the following contact phone number (805) 928-7361.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 1/18/2010.


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 MedicineYes

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
1GR0098093MEDICAIDCALIFORNIA
2106049804OTHERUSDL
3ZZZ133232OTHERCALIFORNIABS PIN/ATASCADERO
4W17810AMEDICARE ID-TYPE UNSPECIFIEDMEDICARE
57263464OTHERCALIFORNIAAETNA PIN
6ZZZ52753YOTHERCALIFORNIABS PIN-SLO

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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