Organization · Type 2 NPI

Lags Spine and Sportscare Medical Centers, Inc.

Addiction Medicine (Psychiatry & Neurology) Physician · Sacramento, CA

NPI number 1669946885 Active

Practice location

7275 E Southgate Dr Ste 306
Sacramento, CA 95823-2631

Fax (916) 800-1118

Mailing address

218 N I St
Lompoc, CA 93436-0909

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist 103TA0400XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatric/Mental Health Registered Nurse 163WP0808XNone listed
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone 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

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About NPI 1669946885

Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1669946885, issued on Jan 22, 2019. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Sacramento, CA. The record was last updated on Jan 22, 2019.