# G.R. PAUL MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407134521
- **Authorized official:** DR. GERALD ROBERT PAUL M.D. (PRESIDENT)
- **Authorized official phone:** (619) 222-2335

## Contact information

- **Practice address:** 3405 KENYON ST, SUITE 101, SAN DIEGO, CA 92110-5003
- **Practice address phone:** (619) 222-2335
- **Practice address fax:** (619) 222-2066
- **Mailing address:** 3405 KENYON ST, SUITE 101, SAN DIEGO, CA 92110-5003
- **Mailing address phone:** (619) 222-2335
- **Mailing address fax:** (619) 222-2066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 00A196470 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2011
- **Last updated:** 07/22/2011