MEDICARE: JEFFREY G GAMBLE SR D C A PROFESSIONAL CHIROPRACTIC CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1538779970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFREY G GAMBLE SR D C A PROFESSIONAL CHIROPRACTIC CORP

Provider Business Mailing Address
First Line	:	72855 FRED WARING DR STE C20
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-9372
Country	:	US
Telephone Number	:	760-610-1589
Fax Number	:	760-610-1633

Provider Business Practice Location Address
First Line	:	72855 FRED WARING DR STE C20
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-9372
Country	:	US
Telephone Number	:	760-610-1589
Fax Number	:	760-610-1633

Authorized Official
Title or Position	:	CEO/CHIROPRACTOR
Name	:	DR. JEFFREY G GAMBLE SR.
Credential	:	DC
Telephone Number	:	760-610-1589

Provider Enumeration Date	:	07/31/2020
Last Update Date	:	01/21/2026

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