# SAN DIEGO SPORTS MEDICINE & ORTHOPAEDIC CENTER

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

## Provider details

- **NPI number:** 1487711222
- **Authorized official:** DR. JAMES P. TASTO M.D. (BUSINESS PARTNER)
- **Authorized official phone:** (619) 229-3932

## Contact information

- **Practice address:** 6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
- **Practice address phone:** (619) 229-3932
- **Practice address fax:** (619) 582-2860
- **Mailing address:** 6719 ALVARADO RD, SUITE 200, SAN DIEGO, CA 92120-5270
- **Mailing address phone:** (619) 229-3932
- **Mailing address fax:** (619) 582-2860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 09/09/2019