Healthcare Provider Details

I. General information

NPI: 1861337248
Provider Name (Legal Business Name): JASON DURIK DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25381 ALICIA PKWY STE J
LAGUNA HILLS CA
92653-4957
US

IV. Provider business mailing address

22700 LAKE FOREST DR APT 822
LAKE FOREST CA
92630-1708
US

V. Phone/Fax

Practice location:
  • Phone: 949-394-9953
  • Fax:
Mailing address:
  • Phone: 949-350-0907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37353
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: