Healthcare Provider Details

I. General information

NPI: 1225186232
Provider Name (Legal Business Name): PAUL BRIAN VOLPP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 02/12/2020
Certification Date: 02/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 CITRICADO PKWY, #110 DEPT OF RADIATION ONCOLOGY
ESCONDIDO CA
92029
US

IV. Provider business mailing address

7777 ALVARADO RD #108
LA MESA CA
91941
US

V. Phone/Fax

Practice location:
  • Phone: 760-739-3371
  • Fax: 760-739-3779
Mailing address:
  • Phone: 619-460-2770
  • Fax: 619-460-2774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA86307
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: