OrganizationActive
Lags Spine and Sportscare Medical Centers, Inc.
NPI 1255897757 · Addiction (Substance Use Disorder) Psychologist · Stockton, CA
Provider details
- NPI number
- 1255897757
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amy D'Amato, Contracts Manager(805) 264-3388
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Nursing Service Providers
Practice location
4505 Precissi Ln Ste a
Stockton, CA 95207-6240
Phone: (209) 425-3815
Fax: (209) 451-0704
Approximate (ZIP-level) locationGet directions
Mailing address
218 N I St
Lompoc, CA 93436-0909
Registry dates
- Enumerated
- 2019-02-20
- Last updated
- 2019-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.