Healthcare Provider Details

I. General information

NPI: 1356319891
Provider Name (Legal Business Name): PAUL JOSEPH GIRARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ARBOR DR ORTHOPAEDIC SURGERY CLINIC, MAIL CODE 8670
SAN DIEGO CA
92103-9001
US

IV. Provider business mailing address

200 W ARBOR DR ORTHOPAEDIC SURGERY CLINIC, MAIL CODE 8670
SAN DIEGO CA
92103-9001
US

V. Phone/Fax

Practice location:
  • Phone: 619-543-6312
  • Fax: 619-543-7480
Mailing address:
  • Phone: 619-543-6312
  • Fax: 619-543-7480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA78346
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: