Provider Demographics
NPI:1124037684
Name:KAJIKI, GIL TAKAO (DC)
Entity Type:Individual
Prefix:DR
First Name:GIL
Middle Name:TAKAO
Last Name:KAJIKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18425 BURBANK BLVD
Mailing Address - Street 2:SUITE 414
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2806
Mailing Address - Country:US
Mailing Address - Phone:818-776-8900
Mailing Address - Fax:818-776-0750
Practice Address - Street 1:18425 BURBANK BLVD
Practice Address - Street 2:SUITE 414
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2806
Practice Address - Country:US
Practice Address - Phone:818-776-8900
Practice Address - Fax:818-776-0750
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18472111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC18472 AMedicare ID - Type UnspecifiedMEDICARE #