Healthcare Provider Details

I. General information

NPI: 1770593196
Provider Name (Legal Business Name): RICHARD E. DANZIGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10678 WEATHERHILL CT
SAN DIEGO CA
92131-2913
US

IV. Provider business mailing address

2001 4TH AVE
SAN DIEGO CA
92101-2303
US

V. Phone/Fax

Practice location:
  • Phone: 858-271-4525
  • Fax:
Mailing address:
  • Phone: 619-446-1549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberG39874
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberG39874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: