Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 25082 | CA |
N | 111NS0005X | Chiropractic Sports Physician | 25082 | CA |
N | 111NX0100X | Occupational Health | 25082 | CA |
NPI | 1073505236 |
---|---|
Provider Name | Dr. Paul Jonathan Marsh |
First Address | San Diego, CA 92108-3721 |
Second Address | San Diego, CA 92108-3721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 08/07/2007 |