Provider Demographics
NPI:1164935920
Name:CUMMINS, GINA (ND)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:
Last Name:CUMMINS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 MICHELSON DRIVE
Mailing Address - Street 2:#E1305
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-5623
Mailing Address - Country:US
Mailing Address - Phone:949-338-0066
Mailing Address - Fax:
Practice Address - Street 1:3141 MICHELSON DRIVE
Practice Address - Street 2:#E1305
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-5623
Practice Address - Country:US
Practice Address - Phone:949-338-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-14
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND941175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty