Healthcare Provider Details

I. General information

NPI: 1881840189
Provider Name (Legal Business Name): DAN SILVIU CARPIUC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 12/06/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7060 CLAIREMONT MESA BLVD
SAN DIEGO CA
92111-1003
US

IV. Provider business mailing address

5230 FIORE TER APT 206
SAN DIEGO CA
92122-5681
US

V. Phone/Fax

Practice location:
  • Phone: 800-290-5000
  • Fax:
Mailing address:
  • Phone: 949-910-0873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA97453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: