Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lags Spine and Sportscare Medical Centers, Inc

Organization Addiction (Substance Use Disorder) Psychologist · NPI 1174087274

Lags Spine and Sportscare Medical Centers, Inc is an Addiction (Substance Use Disorder) Psychologist in San Luis Obispo, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1223 Higuera St Ste 101
San Luis Obispo, CA 93401-3167
Phone: (805) 541-8581
Fax: (805) 541-8584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X

Record details

NPI number1174087274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy D'Amato — Contracts Manager · (805) 264-3388
NPI enumeratedJanuary 23, 2019
Last updated in NPPESJanuary 23, 2019
Mailing address218 N I St, Lompoc, CA 93436-0909

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