Provider Demographics
NPI:1649271586
Name:DIRIG, DAVID MICHAEL (RPH, PHD, CGP)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:DIRIG
Suffix:
Gender:M
Credentials:RPH, PHD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W COUNTRY CLUB LN
Mailing Address - Street 2:SUITE C-174
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-1226
Mailing Address - Country:US
Mailing Address - Phone:760-807-0790
Mailing Address - Fax:760-294-4260
Practice Address - Street 1:2431 HEATHERWOOD CT
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-4012
Practice Address - Country:US
Practice Address - Phone:760-807-0790
Practice Address - Fax:760-294-4260
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48443183500000X, 1835P1200X, 1835P1300X
CA12961835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric