Provider Demographics
NPI:1083627764
Name:GILAK, GILDA (DC)
Entity Type:Individual
Prefix:DR
First Name:GILDA
Middle Name:
Last Name:GILAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:GILDA
Other - Middle Name:
Other - Last Name:GILAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 15813
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-5813
Mailing Address - Country:US
Mailing Address - Phone:949-650-5800
Mailing Address - Fax:949-606-1998
Practice Address - Street 1:260 NEWPORT CENTER DR STE 101
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7520
Practice Address - Country:US
Practice Address - Phone:949-650-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC30269Medicare ID - Type Unspecified