Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Doc Industrial Medical Group Inc

Organization General Practice Physician · NPI 1922689496

Doc Industrial Medical Group Inc provides General Practice Physician services 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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