Doc Industrial Medical Group Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DOC INDUSTRIAL MEDICAL GROUP INC.

Practice address

4510 Executive Dr Ste 107
San Diego, CA 92121-3022

Phone

(858) 457-4717

Fax

(858) 457-0470

NPI assigned

Apr 16, 2021

Last updated

Apr 16, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron-Paul Darron Dunnum

Title

Consultant

Phone

(858) 457-4717

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1922689496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213022",
            "telephone_number": "858-457-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213022",
            "telephone_number": "858-457-4717",
            "fax_number": "858-457-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC INDUSTRIAL MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "DUNNUM",
        "authorized_official_first_name": "RON-PAUL",
        "authorized_official_middle_name": "DARRON",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "858-457-4717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Dobrina
• Theora Dobronte, RDN
• Amanda Dobson
• Dillon Dobson
• Lael Dobson
• Doc It Medical, Inc.
• Cara Lynn Dochat, PHD
• Michael James Docherty, M.D.
• Kristen Dockan, AU.D.
• Nicole Cardoza Dockter, LCSW

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.