Lookup NPI Numbers from the NPI Registry
NPI Profile for LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC in FRESNO, CA.
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
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Psychiatric/Mental Health |
163WP0808X |
| NPI # | 1790249894 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/23/2019 | |
| Last updated | 01/23/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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| JADEN E CHAMPION 4785 N FIRST ST FRESNO, CA |
| ARIA R TORII, MD VETERANS ADMINISTRATION HEALTH CARE FRESNO, CA |
| ASHLYN L HANKEY 4441 E KINGS CANYON RD FRESNO, CA |
| PERMINDER BHATIA, MD 736 E BULLARD AVE FRESNO, CA |
| MICHELLE EDWARDSON, RN 215 NORTH FRESNO STREET, SUITE 370 FRESNO, CA |
| IA O MOUANOUTOUA, RN 4411 E. CESAR CHAVEZ BLVD FRESNO, CA |
| CHEE YANG 4411 E. KINGS CANYON RD FRESNO, CA |
| AMANDA Y COLUNGA 4411 E KINGS CANYON RD FRESNO, CA |
| SCOTT C JENSEN, RN 4411 E KINGS CANYON RD FRESNO, CA |
| KA L VANG 4411 E. KINGS CANYON RD FRESNO, CA |
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.