Organization
SD SPORTS MEDICINE AND FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A. PARKER D.O. (PRESIDENT / CEO)
(619) 229-3909
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD, STE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3909
(619) 229-3902
Mailing address
6699 ALVARADO RD, STE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3909
(619) 229-3902
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064940
—
CA
01
—
W12026
GROUP PTAN
CA
Enumeration date
07/21/2005
Last updated
01/26/2026
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