Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Doc Industrial Medical Group Inc

Organization General Practice Physician · NPI 1922689496

Doc Industrial Medical Group Inc is a General Practice Physician in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4510 Executive Dr Ste 107
San Diego, CA 92121-3022
Phone: (858) 457-4717
Fax: (858) 457-0470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1922689496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron-Paul Dunnum — Consultant · (858) 457-4717
NPI enumeratedApril 16, 2021
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021
Mailing address4510 Executive Dr Ste 107, San Diego, CA 92121-3022

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