Individual
PATRICK TIMOTHY FUSUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1945 GARNET AVE, SAN DIEGO, CA 92109-3523
(858) 224-7977
(858) 224-7978
Mailing address
1945 GARNET AVE, SAN DIEGO, CA 92109-3523
(858) 224-7977
(858) 224-7978
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT020938
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A24331
CA
Other
Enumeration date
06/09/2021
Last updated
02/25/2026
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