Individual provider · Type 1 NPI

Enrique Vizcaino Jr.

Peer Specialist · Garden Grove, CA

NPI number 1144124033 Active

Practice location

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Call (657) 261-7140 Map

Fax (714) 922-1032

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-ZSFWCT (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1144124033

Enrique Vizcaino Jr.'s National Provider Identifier is 1144124033, issued on Oct 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Garden Grove, CA. The record was last updated on Oct 5, 2026.