Provider Demographics
NPI:1689848152
Name:JAUDY, GILBERT SAMI (DC)
Entity Type:Individual
Prefix:DR
First Name:GILBERT
Middle Name:SAMI
Last Name:JAUDY
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 1:42620 CAROLINE CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-5144
Mailing Address - Country:US
Mailing Address - Phone:760-340-4777
Mailing Address - Fax:
Practice Address - Street 1:42620 CAROLINE CT
Practice Address - Street 2:SUITE 103
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-5144
Practice Address - Country:US
Practice Address - Phone:760-340-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor