Lags Spine and Sportscare Medical Centers, Inc.
NPI #1891256293 in Grover Beach, California
Provider Information
- NPI Number
- 1891256293
- Entity Type
- Organization
- Organization Name
- Lags Spine and Sportscare Medical Centers, Inc.
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 200 S 13TH ST
- City
- Grover Beach
- State
- California
- ZIP Code
- 93433-3302
- Phone
- (805) 736-7886
Authorized Official
- Name
- HALLIE MEDINA
- Title
- CONTRACTING ASSISTANT
- Phone
- (661) 432-1451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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