Organization Name: | G.R. PAUL MEDICAL GROUP, INC |
NPI Number: | 1407134521 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD ROBERT PAUL (PRESIDENT) |
Mailing Address: | 3405 Kenyon St Suite 101 San Diego |
State: | CA US |
Postal Code: | 921105003 |
Phone Number: | 6192222335 |
Fax Number: | 6192222066 |
NPI Enumeration Date: | 07/22/2011 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 00A196470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |