MEDICARE: DR. GINA ROSALINDA HAMILTON D.C., L.AC.

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	DC 31953	CA
2	171100000X	Acupuncturist	AC 14851	CA

General Provider Information

NPI Number	:	1942564018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GINA ROSALINDA HAMILTON D.C., L.AC.

Provider Business Mailing Address
First Line	:	5837 COMSTOCK AVE APT 27E
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90601-5409
Country	:	US
Telephone Number	:	818-641-6836
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 EL CAMINO REAL
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3603
Country	:	US
Telephone Number	:	714-731-9355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	05/06/2013

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