Provider Demographics
NPI:1992916506
Name:DAN I GIURGIU M D PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:DAN I GIURGIU M D PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:GIURGIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-298-8891
Mailing Address - Street 1:4060 4TH AVE STE 508
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2121
Mailing Address - Country:US
Mailing Address - Phone:619-298-8891
Mailing Address - Fax:619-298-4997
Practice Address - Street 1:4060 4TH AVE STE 508
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2121
Practice Address - Country:US
Practice Address - Phone:619-298-8891
Practice Address - Fax:619-298-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84536208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC00G845360Medicaid
CAF86626Medicare UPIN
CACB219710Medicare UPIN