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Organization
VISICO CHIROPRACTIC, INC.
Active
Organization
VISICO CHIROPRACTIC, INC.
Active
Other names
Mira Mesa Chiropractic, Mira Mesa Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER VISICO DC (PRESIDENT)
(858) 453-0366
Entity
Organization
Contact information
Practice address
5850 OBERLIN DR STE 220, SAN DIEGO, CA 92121-4711
(858) 453-0366
(858) 453-0370
Mailing address
5850 OBERLIN DR STE 220, SAN DIEGO, CA 92121-4711
(858) 453-0366
(858) 453-0370
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
34262
CA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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