Healthcare Provider Details

I. General information

NPI: 1861540197
Provider Name (Legal Business Name): DAVID E. SAFIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 11/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 SAMARITAN DR SUITE 720
SAN JOSE CA
95124-4100
US

IV. Provider business mailing address

2577 SAMARITAN DR SUITE 720
SAN JOSE CA
95124-4100
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-5105
  • Fax: 408-356-3565
Mailing address:
  • Phone: 408-356-5105
  • Fax: 408-356-3565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG25052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: