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NPI 1003016619

NPI 1003016619 : GILDA GILAK CHIROPRACTIC INC : NEWPORT BEACH, CA

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General NPI Number Information
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    NPI Number           |    1003016619
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    Entity Type          |    Organization 
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    Legal Business Name  |    GILDA GILAK CHIROPRACTIC INC 
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Dates
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    Enumeration Date     |    07/21/2007
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    260 NEWPORT CENTER DR STE 101 
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92660-7520
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    Country              |    US
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    Telephone            |    949-650-5800
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    Fax                  |    949-612-0868
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Provider Business Mailing Address
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    Address Line         |    260 NEWPORT CENTER DR STE 101 
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92660-7520
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    Country              |    US
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    Telephone            |    949-650-5800
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    Fax                  |    949-612-0868
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GILDA  GILAK 
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    Credential           |    DC
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    Telephone            |    949-650-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC30269
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    License Number State |    CA
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