Individual provider · Type 1 NPI

Patrick Timothy Fusunyan, DO

Sports Medicine (Family Medicine) Physician · San Diego, CA

NPI number 1811564776 Active

Practice location

1945 Garnet Ave
San Diego, CA 92109-3523

Fax (858) 224-7978

Other practice locations

  • 24 Doctors Ln Ste 202, Clarion, PA 16214-8574 · (814) 226-2500

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010X20A24331 (CA)
Family Medicine Physician 207Q00000XOT020938 (PA)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1811564776

Patrick Timothy Fusunyan, DO's National Provider Identifier is 1811564776, issued on Jun 9, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in San Diego, CA. The record was last updated on Feb 25, 2026.