Individual
GERALD ROBERT PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3405 KENYON ST, SUITE 101, SAN DIEGO, CA 92110-5004
(619) 222-2335
(619) 222-2066
Mailing address
2790 TRUXTUN RD, SUITE 100, SAN DIEGO, CA 92106-6135
(619) 610-9790
(619) 610-9765
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00A196470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A196470
—
CA
Enumeration date
10/13/2006
Last updated
01/12/2012
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