MEDICARE: DAVID MICHAEL DIRIG RPH, PHD, CGP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	48443	CA
2	1835P1200X	Pharmacotherapy Pharmacist	48443	CA
3	1835P1300X	Psychiatric Pharmacist	48443	CA
4	1835G0303X	Geriatric Pharmacist	1296	CA

General Provider Information

NPI Number	:	1649271586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MICHAEL DIRIG RPH, PHD, CGP

Provider Business Mailing Address
First Line	:	555 W COUNTRY CLUB LN
Second Line	:	SUITE C-174
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1226
Country	:	US
Telephone Number	:	760-807-0790
Fax Number	:	760-294-4260

Provider Business Practice Location Address
First Line	:	2431 HEATHERWOOD CT
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-4012
Country	:	US
Telephone Number	:	760-807-0790
Fax Number	:	760-294-4260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	09/11/2025

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