Provider Demographics
NPI:1922015395
Name:ASSEFF, DAVID CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CARL
Last Name:ASSEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12237 CARMEL VISTA RD UNIT 163
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2531
Mailing Address - Country:US
Mailing Address - Phone:858-525-1847
Mailing Address - Fax:
Practice Address - Street 1:PSC 559
Practice Address - Street 2:BOX 6622
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96377
Practice Address - Country:JP
Practice Address - Phone:01181611-722-7574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.077033171000000X
CA54132207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No171000000XOther Service ProvidersMilitary Health Care Provider