Provider Demographics
NPI:1992769194
Name:GIURGIU, DAN I (MD)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:I
Last Name:GIURGIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:I
Other - Last Name:GIURGIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4060 FOURTH AVE
Mailing Address - Street 2:440
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2183
Mailing Address - Country:US
Mailing Address - Phone:619-298-8891
Mailing Address - Fax:619-298-4997
Practice Address - Street 1:4060 FOURTH AVE
Practice Address - Street 2:440
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2183
Practice Address - Country:US
Practice Address - Phone:619-298-8891
Practice Address - Fax:619-298-4997
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84536208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G845360Medicaid
CA00G845360Medicaid
CAG84536Medicare ID - Type Unspecified