Healthcare Provider Details

I. General information

NPI: 1649271586
Provider Name (Legal Business Name): DAVID MICHAEL DIRIG RPH, PHD, CGP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2431 HEATHERWOOD CT
ESCONDIDO CA
92026-4012
US

IV. Provider business mailing address

555 W COUNTRY CLUB LN SUITE C-174
ESCONDIDO CA
92026-1226
US

V. Phone/Fax

Practice location:
  • Phone: 760-807-0790
  • Fax: 760-294-4260
Mailing address:
  • Phone: 760-807-0790
  • Fax: 760-294-4260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number48443
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number48443
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number48443
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number1296
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: