Lags Spine And Sportscare Medical Centers, Inc. | |
592 S 13th St Grover Beach CA 93433-3820 | |
(805) 473-6510 | |
(805) 473-6516 |
Full Name | Lags Spine And Sportscare Medical Centers, Inc. |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 592 S 13th St, Grover Beach, California |
Authorized Official Name and Position | Amy D'amato (CONTRACTS MANAGER) |
Authorized Official Contact | 8052643388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lags Spine And Sportscare Medical Centers, Inc. 218 N I St Lompoc CA 93436-0909 Ph: (805) 736-7886 | Lags Spine And Sportscare Medical Centers, Inc. 592 S 13th St Grover Beach CA 93433-3820 Ph: (805) 473-6510 |
NPI Number | 1316411549 |
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Provider Enumeration Date | 01/22/2019 |
Last Update Date | 03/06/2019 |
Identifier | Type | State | Issuer |
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1316411549 | NPI | - | NPPES |
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Behavioral Health Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 Longbranch Ave, Grover Beach, CA 93433 Phone: 805-473-7080 Fax: 805-473-7188 | |
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