Individual
PAUL S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 WASHINGTON ST, SUITE 512, SAN DIEGO, CA 92103-2231
(619) 297-0014
(619) 297-1014
Mailing address
501 WASHINGTON ST, SUITE 512, SAN DIEGO, CA 92103-2231
(619) 297-0014
(619) 297-1014
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G45869
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G458690
—
CA
05
—
00G458691
—
CA
01
—
RHD 126409
X-RAY/FLUOROSCOPY
CA
Enumeration date
07/31/2006
Last updated
02/14/2011
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