Organization
OSTEOPATHIC SPORTS & WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SUNGWOOK HONG D.O. (PRESIDENT/PROVIDER)
(858) 720-1565
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE, SUITE 125, LA JOLLA, CA 92037-1269
(858) 720-1565
Mailing address
9834 GENESEE AVE, SUITE 125, LA JOLLA, CA 92037-1269
(858) 720-1565
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
20A8140
CA
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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