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G.R. PAUL MEDICAL GROUP INC NPI 1407134521


NPI Information

NPI: 1407134521
Provider Name: G.R. PAUL MEDICAL GROUP, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3405 KENYON ST
SUITE 101
SAN DIEGO, CA
ZIP 92110
Phone: (619) 222-2335
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G.R. PAUL MEDICAL GROUP, INC is a general practice in San Diego, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee G.R. PAUL MEDICAL GROUP, INC NPI is 1407134521. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3405 KENYON ST
SUITE 101
SAN DIEGO, CA
ZIP 92110-003
Phone: (619) 222-2335
Fax: (619) 222-2066

The provider's authorized official is Gerald Robert Paul .
The authorized official title is President and has the following contact phone number (619) 222-2335.

The enumeration date for this NPI number is 7/22/2011 and was last updated on 7/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice00A196470CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A82087MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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