# LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184027856
- **Authorized official:** FRANCIS P LAGATTUTA M.D. (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (805) 928-7361

## Contact information

- **Practice address:** 2811 COLLEGE AVE, UNIT A, BERKELEY, CA 94705-2167
- **Practice address phone:** (805) 928-7361
- **Mailing address:** 801 E CHAPEL ST, STE. 1, SANTA MARIA, CA 93454-4607
- **Mailing address phone:** (805) 928-7361
- **Mailing address fax:** (805) 928-5742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 03/16/2015