Lags Spine And Sportscare Medical Centers, INC.
Physical Medicine & Rehabilitation, Pain Medicine in Van Nuys, CA. Organization (NPI-2).
NPI number1851862072
StatusActive
Last updated in NPPESDec 16, 2018
Details
- NPI
- 1851862072
- Entity type
- Organization (NPI-2)
- Legal business name
- Lags Spine And Sportscare Medical Centers, INC.
- Organization subpart
- No
- Enumeration date
- Dec 16, 2018
- Last updated
- Dec 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Practice location
14600 Sherman Way Ste 220Van Nuys, CA 91405-5851
Phone 805-928-7361
Mailing address
218 N I StLompoc, CA 93436-0909
Authorized official
Amy D'Amato
Contracts Manager
8052643388
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