Healthcare Provider Details

I. General information

NPI: 1073533899
Provider Name (Legal Business Name): DAVID MICHAEL KUPFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5395 RUFFIN RD STE 201
SAN DIEGO CA
92123-1338
US

IV. Provider business mailing address

3434 MIDWAY DR SUITE 2004
SAN DIEGO CA
92110-4923
US

V. Phone/Fax

Practice location:
  • Phone: 858-245-9804
  • Fax: 858-560-1974
Mailing address:
  • Phone: 619-223-2271
  • Fax: 619-221-4456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License NumberG57621
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: