# DOC INDUSTRIAL MEDICAL GROUP INC.

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

## Provider details

- **NPI number:** 1922689496
- **Authorized official:** MR. RON-PAUL DARRON DUNNUM (CONSULTANT)
- **Authorized official phone:** (858) 457-4717

## Contact information

- **Practice address:** 4510 EXECUTIVE DR STE 107, SAN DIEGO, CA 92121-3022
- **Practice address phone:** (858) 457-4717
- **Practice address fax:** (858) 457-0470
- **Mailing address:** 4510 EXECUTIVE DR STE 107, SAN DIEGO, CA 92121-3022
- **Mailing address phone:** (858) 457-4717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2021
- **Last updated:** 04/16/2021