THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC. is a specialist in San Diego, CA. The provider is 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. THE S.P.O.R.T. INSTITUTE MEDICAL GROUP, INC. NPI is 1902089204. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7525 LINDA VISTA RD.
SUITE C
SAN DIEGO, CA
ZIP 92111
Phone: (858) 650-3030
Fax: (858) 650-3033
The provider's authorized official is William Joseph Previte .
The authorized official title is Owner and has the following contact phone number (858) 650-3030.
The enumeration date for this NPI number is 12/10/2007 and was last updated on 8/11/2011.