Provider Demographics
NPI:1699727990
Name:RIFFEL DALINGER, HUGO D (MD)
Entity type:Individual
Prefix:
First Name:HUGO
Middle Name:D
Last Name:RIFFEL DALINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HUGO
Other - Middle Name:DESIDERIO
Other - Last Name:RIFFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:435 ARDEN AVE STE 450
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4024
Mailing Address - Country:US
Mailing Address - Phone:747-215-6600
Mailing Address - Fax:818-245-6133
Practice Address - Street 1:435 ARDEN AVE STE 450
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4024
Practice Address - Country:US
Practice Address - Phone:747-215-6600
Practice Address - Fax:818-245-6133
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30878207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A308780Medicaid
CA00A308780Medicaid
A26267Medicare UPIN