DOC INDUSTRIAL MEDICAL GROUP INC.
General Practice

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

DOC INDUSTRIAL MEDICAL GROUP INC. (NPI# 1922689496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922689496
Entity Type Organization
Organization Name DOC INDUSTRIAL MEDICAL GROUP INC.
Practice Address 4510 Executive Dr Ste 107
San Diego
CA 92121-3022
Practice Telephone 8584574717
Practice Fax Number 8584570470
Mailing Address 4510 Executive Dr Ste 107
San Diego
CA 92121-3022
Mailing Telephone 8584574717
Certification Date 2021-04-16
Enumeration Date 2021-04-16
Last Update Date 2021-04-16
Authorized Official Telephone 8584574717
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 208D00000X General Practice 193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians

Office Location

Street Address 4510 EXECUTIVE DR STE 107
City SAN DIEGO
State CA
Zip Code 92121-3022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285281667 Brian Lamoreux Naturopath 4510 Executive Dr Ste 111, San Diego, CA 92121-3022 2019-08-21
1194968677 Professional Surgicenter, Inc Clinic/Center - Ambulatory Surgical 4510 Executive Dr Ste 105a, San Diego, CA 92121-3022 2009-04-13
1366698359 Solvis Healthcare Inc. · Work Fit Physical Therapist 4510 Executive Dr Ste 108, San Diego, CA 92121-3022 2008-08-11
1326203605 Daniel Maxwell Stuart Physical Medicine & Rehabilitation - Pain Medicine 4510 Executive Dr Ste 100, San Diego, CA 92121-3022 2008-07-25
1235295965 George C. Georgaklis Dds Apc Dentist - General Practice 4510 Executive Dr Ste 106, San Diego, CA 92121-3022 2006-12-28
1750302022 Jon S Wilensky, Md, Inc Specialist 4510 Executive Dr Ste 105, San Diego, CA 92121-3022 2006-07-22
1003861139 Shashita Inamdar Psychiatry & Neurology - Psychiatry 4510 Executive Dr Ste 115, San Diego, CA 92121-3022 2006-05-24
1487653523 Robert B Pollack Surgery - Plastic and Reconstructive Surgery 4510 Executive Dr., Suite 105, San Diego, CA 92121-3022 2005-07-20
1700426269 Meagan O'Connor Erwin Psychologist 4510 Executive Dr Ste 115, San Diego, CA 92121-3022 2020-01-13
1447801337 Lani Riedler Marriage & Family Therapist 4510 Executive Dr Ste 115, San Diego, CA 92121-3022 2019-09-23
Find all providers in zip 92121-3022

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1568055036 Georgina Louise Parfitt Behavior Technician Behavioral Health Works, 5755 Oberlin Drive Suite 300, San Diego, CA 92121 2021-02-16
1740871979 Casa Palmera Care Center, Inc. Substance Abuse Rehabilitation Facility 6305 Lusk Blvd, San Diego, CA 92121 2021-01-31
1720681216 Discovery Health Holdings Corp Clinical Medical Laboratory 5830 Oberlin Dr. Suite 204, San Diego, CA 92121 2020-11-18
1225644917 Anna Hand · Anna Brodzki Physical Therapist 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 2020-09-18
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1841852472 Unmanned Systems Operations Group · Usog Air Carrier 4655 Executive Dr., Suite 700, San Diego, CA 92121 2019-07-03
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
1609432244 Ramon Hernandez Behavior Technician 3978 Sorrento Valley Blvd., Ste 100, San Diego, CA 92121 2019-05-18
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396349957 Nuimage Aesthetics Md General Practice 2425 Camino Del Rio S Ste 180, San Diego, CA 92108-3746 2020-11-24
1316553530 Kimberly Ann Callaway General Practice 4893 Drakewood Ter, San Diego, CA 92130-1406 2020-09-22
1629626981 Rejuvenate Medical Group Inc General Practice 5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120 2019-08-29
1114484573 Revive Medical of San Diego General Practice 7220 Trade St Ste 209, San Diego, CA 92121-2326 2019-02-21
1144790643 Elaine Esguerra General Practice 751 Kentmere Ter, San Diego, CA 92154-8415 2018-11-28
1609350909 Cristina Lavenant Gordon General Practice 10912 Derrydown Way, San Diego, CA 92130-2897 2018-09-21
1144723289 Andrew T Bagby General Practice 601 Mc Cain Blvd, San Diego, CA 92135 2018-03-15
1073047593 Fit Athletic Club San Diego LLC General Practice 350 10th Ave, San Diego, CA 92101-7496 2017-04-12
1568828671 Ceferina Pulgar Ruiz · Ceferina Martinez Pulgar General Practice 6809 Freed Manor Lane, San Diego, CA 92114 2016-01-05
1114339397 Stephen Mcburney Hughes General Practice Pulmonary, Sleep and Critical Care Medicine Department, 34800 Bob Wilson Dr. Ste 301, San Diego, CA 92134-3301 2014-05-22
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City SAN DIEGO
Zip Code 92121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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