Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | G39874 | CA |
N | 2080P0201X | Pediatric Allergist | G39874 | CA |
NPI | 1770593196 |
---|---|
Provider Name | Dr. Richard E. Danziger |
First Address | San Diego, CA 92101-2303 |
Second Address | San Diego, CA 92131-2913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G398740 | (05) | CA |
E51759 | (02) | CA |