Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Diego Sports Medicine & Orthopaedic Center Inc

Organization Orthopaedic Surgery Physician · NPI 1356869119

San Diego Sports Medicine & Orthopaedic Center Inc is an Orthopaedic Surgery Physician in San Diego, California. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6719 Alvarado Rd Ste 200
San Diego, CA 92120-5256
Phone: (619) 229-3932
Fax: (619) 582-2860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1356869119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Sullivan — Administrator · (619) 229-3932
NPI enumeratedAugust 31, 2017
Last updated in NPPESSeptember 9, 2019
Mailing address6719 Alvarado Rd Ste 200, San Diego, CA 92120-5256

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