OSTEOPATHIC SPORTS & WELLNESS INSTITUTE (NPI# 1689948044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689948044 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC SPORTS & WELLNESS INSTITUTE |
| Practice Address |
9834 Genesee Ave Suite 125 La Jolla CA 92037-1269 |
| Practice Telephone | 8587201565 |
| Mailing Telephone | 8587201565 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | DR. JOSEPH SUNGWOOK HONG (PRESIDENT/PROVIDER) |
| Authorized Official Telephone | 8587201565 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 20A8140 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9834 GENESEE AVE SUITE 125 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154143 | Mark M. Boiskin | Internal Medicine | 9834 Genesee Ave, Ste 312, La Jolla, CA 92037-1223 | 2005-06-17 |
| 1477925311 | Lee Copson | Audiologist-Hearing Aid Fitter | 9834 Genesee Ave, Hm Poole Building, Suite 224, La Jolla, CA 92037-1223 | 2015-10-29 |
| 1336531516 | Integrative Cardiovascular Center of La Jolla | Internal Medicine | 9834 Genesee Ave, Ste 101, La Jolla, CA 92037-1223 | 2015-02-25 |
| 1528460334 | Reinhard Wilhelm Schulte | Radiology | 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 | 2014-09-23 |
| 1083028898 | Frederick J De La Vega, Md | Specialist | 9834 Genesee Ave, 411, La Jolla, CA 92037-1223 | 2014-06-19 |
| 1912318023 | Ramona Master Md PC | Internal Medicine | 9834 Genesee Ave, La Jolla, CA 92037-1223 | 2014-05-12 |
| 1841632197 | Colleen Louise Trimlett | Physician Assistant | 9834 Genesee Ave, Ste. 125, La Jolla, CA 92037-1223 | 2013-07-26 |
| 1790120269 | California Hearing and Balance Center | Clinic/Center | 9834 Genesee Ave, Suite 111, La Jolla, CA 92037-1223 | 2013-05-09 |
| 1083972483 | Yogita Lakhera | Internal Medicine | 9834 Genesee Ave, Suite 312, La Jolla, CA 92037-1223 | 2012-04-24 |
| 1598049272 | California Center for Neurointerventional Surgery | Specialist | 9834 Genesee Ave, 411, La Jolla, CA 92037-1223 | 2011-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997766 | Nancy Lou Sajben | Neuromusculoskeletal Medicine, Sports Medicine | 4130 La Jolla Village Drive, Ste 301, La Jolla, CA 92037-1481 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531837 | Resham Macfarlane | Neuromusculoskeletal Medicine, Sports Medicine | 3025 Dana St, Berkeley, CA 94705-2041 | 2020-08-31 |
| 1578065934 | Shae Nicole Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 12891 Indiana Ave Unit 41, Riverside, CA 92503-4679 | 2018-03-01 |
| 1578843793 | Krista Senness Lund | Neuromusculoskeletal Medicine, Sports Medicine | 120 N Clovis Ave Bldg 65, Clovis, CA 93612-0303 | 2011-08-18 |
| 1851697809 | William James Meecham | Neuromusculoskeletal Medicine, Sports Medicine | 4280 Redwood Hwy Ste 4, San Rafael, CA 94903-2600 | 2011-02-08 |
| 1689980534 | Avon Day Manney | Neuromusculoskeletal Medicine, Sports Medicine | 5737 Thornhill Dr Ste 207b, Oakland, CA 94611-2144 | 2010-08-28 |
| 1104153113 | Orange County Medical Group, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1211 W La Palma Ave Ste 709, Anaheim, CA 92801-2814 | 2009-11-11 |
| 1750614343 | Westwood Neurodiagnostic Center | Neuromusculoskeletal Medicine, Sports Medicine | 11022 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-7558 | 2009-09-14 |
| 1922295344 | Wilshire Neuro-diagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 237 S La Cienega Blvd, Beverly Hills, CA 90211-3301 | 2007-09-30 |
| 1699972042 | Giang-tuyet Nguyen Lam | Neuromusculoskeletal Medicine, Sports Medicine | 26001 Redlands Blvd, Physical Medicine Department, Redlands, CA 92373 | 2007-06-29 |
| 1760684757 | Carter Harrison Sigmon | Neuromusculoskeletal Medicine, Sports Medicine | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2007-06-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OSTEOPATHIC SPORTS & WELLNESS INSTITUTE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.