Search › California › 1223G0001X
Casey Vidovich
NPI 1871901827 · on the registry since 2014
Practice
- Address
- 30575 Trabuco Canyon Rd
Suite 106
Trabuco Canyon, CA 92679 - Phone
- (949) 858-5147
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California