OrganizationActive
Lags Spine and Sportscare Medical Centers, Inc.
NPI 1316411549 · Addiction Medicine (Psychiatry & Neurology) Physician · Grover Beach, CA
Provider details
- NPI number
- 1316411549
- 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
592 S 13th St
Grover Beach, CA 93433-3820
Phone: (805) 473-6510
Fax: (805) 473-6516
Approximate (ZIP-level) locationGet directions
Mailing address
218 N I St
Lompoc, CA 93436-0909
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2019-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.