Organization · Type 2 NPI
Lags Spine and Sportscare Medical Centers, Inc.
Addiction Medicine (Psychiatry & Neurology) Physician · Grover Beach, CA
Practice location
592 S 13th St
Grover Beach, CA 93433-3820
Fax (805) 473-6516
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
Another provider at this address
About NPI 1316411549
Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1316411549, issued on Jan 22, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Grover Beach, CA. The record was last updated on Mar 6, 2019.