Healthcare Provider Details
I. General information
NPI: 1801700414
Provider Name (Legal Business Name): LUIS ERNESTO GARAY GUTIERREZ D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4482 BARRANCA PKWY SUITE 244
IRVINE CA
92604
US
IV. Provider business mailing address
4482 BARRANCA PKWY SUITE 244
IRVINE CA
92604
US
V. Phone/Fax
- Phone: 949-413-2683
- Fax:
- Phone: 949-413-2683
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 37754 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: