South Bay Spine & Sport

LBN: San Diego Spine & Sport, Inc
South Bay Spine & Sport is an health care organization with primary practice located at 450 4Th Ave #215, Chula Vista CA 91910-4426. The organization recently has 9 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is the primary health care specialty. San Diego Spine & Sport, Inc can be contacted via phone (619) 585-3745, or through Mooney, Vert via phone (858) 751-0900.

Contact Information

Primary practice address
450 4Th Ave #215 Chula Vista CA 91910-4426
Phone: (619) 585-3745
Fax: (619) 585-3746
Website:
Map and Directions
Authorized official contact:
Name: Mooney, Vert Doctor of Medicine (MD)
Phone: (858) 751-0900

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Electrophysiology, Clinical 2251E1300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 225XE1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X

Profile Details

NPI number 1063405637
LBN Legal business name San Diego Spine & Sport, Inc
DBA Doing business as South Bay Spine & Sport
Authorized official Mooney, Vert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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