Provider Demographics
NPI:1841340957
Name:CASE, DARLENE MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:MARIE
Last Name:CASE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:401 N BROOKHURST ST
Mailing Address - Street 2:#110
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5614
Mailing Address - Country:US
Mailing Address - Phone:714-956-2400
Mailing Address - Fax:714-956-5534
Practice Address - Street 1:401 N BROOKHURST ST
Practice Address - Street 2:#110
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5614
Practice Address - Country:US
Practice Address - Phone:714-956-2400
Practice Address - Fax:714-956-5534
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC20614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC20614Medicare ID - Type Unspecified
U33925Medicare UPIN