Individual
DR. DARIN MICHAEL VISICHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
714 ADAMS AVE, STE 209, HUNTINGTON BEACH, CA 92648-3267
(714) 887-8023
(714) 751-1511
Mailing address
15520 ROCKFIELD BLVD, STE A200, IRVINE, CA 92618-6705
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23395
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ62920Z
BLUE SHIELD
CA
Enumeration date
08/31/2006
Last updated
02/27/2019
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