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 |
| 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 |
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LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
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| SCOTT C JENSEN, RN 4411 E KINGS CANYON RD FRESNO, CA |
| KA L VANG 4411 E. KINGS CANYON RD FRESNO, CA |