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Contact Information

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
3751 E SHIELDS AVENUE
FRESNO, CA93726
 Phone: 559-478-5244
 Fax: 559-554-9157
 Website:
 

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
Indicates primary specialty

NPI Profile & details for LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

NPI # 1790249894
LBN Legal business name LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Authorized official AMY D'AMATO - (CONTRACTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2019
Last updated 01/23/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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