Osteopathic Sports & Wellness Institute

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

20A8140 Issued in CA

Legal business name

OSTEOPATHIC SPORTS & WELLNESS INSTITUTE

Practice address

9834 Genesee Ave
Suite 125
La Jolla, CA 92037-1269

Phone

(858) 720-1565

NPI assigned

Mar 2, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Sungwook Hong, D.O.

Title

President/Provider

Phone

(858) 720-1565

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1689948044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 125",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371269",
            "telephone_number": "858-720-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 125",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371269",
            "telephone_number": "858-720-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC SPORTS & WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SUNGWOOK",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "858-720-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A8140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dora Ortiz
• Marco Ortiz
• Emily Elizabeth Orwig, PA-C
• Natasha Osborne
• Melissa Osorio, DO
• Stephen Fielding Oster, M.D., PH.D.
• John Lee Otis, MD
• Shirley M. Otis, M.D.
• Payton Amelia Ottum
• Marieke Overman, PH.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.