Organization · Type 2 NPI
Lags Spine and Sportscare Medical Centers, Inc.
Addiction Medicine (Psychiatry & Neurology) Physician · Santa Cruz, CA
Practice location
1658 Soquel Dr Ste H
Santa Cruz, CA 95065-1710
Fax (831) 346-6709
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
2 other providers at this address
About NPI 1366916595
Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1366916595, issued on Jan 22, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 22, 2019.