# OSTEOPATHIC SPORTS & WELLNESS INSTITUTE

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

## Provider details

- **NPI number:** 1689948044
- **Authorized official:** DR. JOSEPH SUNGWOOK HONG D.O. (PRESIDENT/PROVIDER)
- **Authorized official phone:** (858) 720-1565

## Contact information

- **Practice address:** 9834 GENESEE AVE, SUITE 125, LA JOLLA, CA 92037-1269
- **Practice address phone:** (858) 720-1565
- **Mailing address:** 9834 GENESEE AVE, SUITE 125, LA JOLLA, CA 92037-1269
- **Mailing address phone:** (858) 720-1565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 20A8140 | CA | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/02/2012