Provider Demographics
NPI:1437297587
Name:GIN, RAY H (DC)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:H
Last Name:GIN
Suffix:
Gender:M
Credentials:DC
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Other - First Name:
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Mailing Address - Street 1:23232 PERALTA DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1443
Mailing Address - Country:US
Mailing Address - Phone:949-458-6728
Mailing Address - Fax:
Practice Address - Street 1:23232 PERALTA DR
Practice Address - Street 2:SUITE 205
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1443
Practice Address - Country:US
Practice Address - Phone:949-458-6728
Practice Address - Fax:949-458-6729
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA26053111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor