Organization
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS P LAGATTUTA MD (PRESIDENT)
(805) 928-7361
Entity
Organization
Contact information
Practice address
801 E CHAPEL ST, STE. 1, SANTA MARIA, CA 93454-4607
(805) 928-7361
(805) 928-5742
Mailing address
801 E CHAPEL ST, STE. 1, SANTA MARIA, CA 93454-4607
(805) 928-7361
(805) 928-5742
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
18595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106049801
USDL
—
01
—
7263464
AETNA PIN
CA
05
—
GR0098092
—
CA
01
—
GR098092
SBHA
CA
01
—
ZZZ09770Z
BLUE SHIELD OF CA
CA
Enumeration date
09/07/2005
Last updated
03/03/2015
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