Organization
SAN DIEGO SPORTS MEDICINE & ORTHOPAEDIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA MARIE SULLIVAN (ADMINISTRATOR)
(619) 229-3932
Entity
Organization
Contact information
Practice address
6719 ALVARADO RD STE 200, SAN DIEGO, CA 92120-5256
(619) 229-3932
(619) 582-2860
Mailing address
6719 ALVARADO RD STE 200, SAN DIEGO, CA 92120-5256
(619) 229-3932
(619) 582-2860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
09/09/2019
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