Healthcare Provider Details

I. General information

NPI: 1649211533
Provider Name (Legal Business Name): DARIN EYE CENTER, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 HAALAND DR STE 103
THOUSAND OAKS CA
91361-5230
US

IV. Provider business mailing address

425 HAALAND DR STE 103
THOUSAND OAKS CA
91361-5230
US

V. Phone/Fax

Practice location:
  • Phone: 818-275-0009
  • Fax: 805-778-9194
Mailing address:
  • Phone: 818-787-2020
  • Fax: 818-787-8652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE M RAJACICH
Title or Position: PRESIDENT
Credential: MD
Phone: 818-787-2020