Individual
DR. CAREY PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7291 BOULDER AVE STE 2C, HIGHLAND, CA 92346-6900
(909) 862-4226
(909) 862-0319
Mailing address
PO BOX 10488, SAN BERNARDINO, CA 92423-0488
(888) 344-9111
(909) 335-7130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C42993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700836475
GRP NPI
CA
01
—
ZZZ43231Z
BLUE SHIELD OF CA
CA
Enumeration date
05/12/2006
Last updated
09/11/2009
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