| Visichio Chiropractic Corporation | |
|
714 Adams Ave 209 Huntington Beach CA 92648-3267 | |
| (714) 887-8023 | |
| Not Available |
| Full Name | Visichio Chiropractic Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 714 Adams Ave, Huntington Beach, California |
| Authorized Official Name and Position | Darin Michael Visichio (OWNER) |
| Authorized Official Contact | 71488708023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visichio Chiropractic Corporation 714 Adams Ave Ste 209 Huntington Beach CA 92648-3267 Ph: (714) 887-8023 | Visichio Chiropractic Corporation 714 Adams Ave 209 Huntington Beach CA 92648-3267 Ph: (714) 887-8023 |
| NPI Number | 1699943878 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 10/01/2010 |
| Medicare PECOS PAC ID | 8123197605 |
|---|---|
| Medicare Enrollment ID | O20080523000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699943878 | NPI | - | NPPES |
| ZZZ62920Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 23395 (California) | Primary |
| Provider Name | Darin M Visichio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477665362 PECOS PAC ID: 7315016896 Enrollment ID: I20080523000366 |
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