Healthcare Provider Details

I. General information

NPI: 1518097344
Provider Name (Legal Business Name): DAVID M. KUPFER, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
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

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

V. Phone/Fax

Practice location:
  • Phone: 858-560-0242
  • Fax: 858-560-1974
Mailing address:
  • Phone: 858-560-0242
  • Fax: 858-560-1974

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: DR. DAVID MICHAEL KUPFER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 619-223-2271