Provider Demographics
NPI:1720162308
Name:GRIGORIAN, DARIN C (DC)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:C
Last Name:GRIGORIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 AUBURN FOLSOM RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-5515
Mailing Address - Country:US
Mailing Address - Phone:530-885-6975
Mailing Address - Fax:530-885-3871
Practice Address - Street 1:410 AUBURN FOLSOM RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5515
Practice Address - Country:US
Practice Address - Phone:530-885-6975
Practice Address - Fax:530-885-3871
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23518111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor