OrganizationActive
Lags Spine and Sportscare Medical Centers, Inc.
NPI 1265906499 · Addiction Medicine (Psychiatry & Neurology) Physician · Modesto, CA
Provider details
- NPI number
- 1265906499
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy D'Amato, Contracts Manager(805) 264-3388
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Nursing Service Providers
Practice location
1317 Oakdale Rd Ste 800
Modesto, CA 95355-3366
Phone: (209) 284-0729
Fax: (209) 342-6634
Approximate (ZIP-level) locationGet directions
Mailing address
218 N I St
Lompoc, CA 93436-0909
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2019-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.