Organization · Type 2 NPI
Lags Spine and Sportscare Medical Centers, Inc.
Addiction Medicine (Psychiatry & Neurology) Physician · Modesto, CA
Practice location
1317 Oakdale Rd Ste 800
Modesto, CA 95355-3366
Fax (209) 342-6634
Mailing address
218 N I St
Lompoc, CA 93436-0909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: 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
4 other providers at this address
- Lags Spine and Sportscare Medical Centers, Inc.Pain Medicine (Physical Medicine & Rehabilitation) Physician Modesto, CA NPI 1093298507
- Jaisleen DhaliwalFamily Nurse Practitioner Modesto, CA NPI 1750038345
- Mila Amerine-Dickens, BCBABehavior Analyst Modesto, CA NPI 1992043665
- Poonam Sewak, NPNurse Practitioner Modesto, CA NPI 1639977077
Other addiction medicine (psychiatry & neurology) physician providers in Modesto
About NPI 1265906499
Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1265906499, issued on Jan 22, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Modesto, CA. The record was last updated on Jan 22, 2019.