THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC.

SAN DIEGO, CA
NPI1902089204
Entity TypeOrganization
Authorized ContactWILLIAM JOSEPH PREVITE
Owner
858-650-3030
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  20A5466)
Enumeration Date2007-12-10
Last Update Date2011-08-11
Business Address
THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC.
7525 LINDA VISTA RD. SUITE C
SAN DIEGO, CA 92111
Phone number: 858-650-3030
Mailing Address
THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC.
7525 LINDA VISTA RD. SUITE C
SAN DIEGO, CA 92111
Phone number: 858-650-3030
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