institution
The S.p.o.r.t. Institute Medical Group, Inc.
Specialist in San Diego, California
NPI 1902089204

The S.p.o.r.t. Institute Medical Group, Inc. is a Specialist based in San Diego, CA. The S.p.o.r.t. Institute Medical Group, Inc. practices in San Diego, CA. The NPI Number for The S.p.o.r.t. Institute Medical Group, Inc. is 1902089204 and holds a License No. 20A5466 (California).

The current practice location address for The S.p.o.r.t. Institute Medical Group, Inc. is 7525 Linda Vista Rd., San Diego, CA and can be reached out via phone at 858-650-3030 and via fax at 858-650-3033.

Location: 7525 Linda Vista Rd., San Diego, CA, 92111
institution
Provider Profile Details
NPI Number
1902089204
Provider Name
The S.p.o.r.t. Institute Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
7525 Linda Vista Rd., San Diego, CA, 92111
Phone Number
858-650-3030
Fax Number
858-650-3033
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7525 Linda Vista Rd.
City
State
Zip
92111
Phone Number
858-650-3030
Fax Number
858-650-3033
person
Provider Business Mailing Address Details
Address
7525 Linda Vista Rd.
City
State
Zip
92111
Phone Number
858-650-3030
Fax Number
858-650-3033
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
20A5466 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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