Provider Demographics
NPI:1942349667
Name:PELED, GILA (LICENCED ACUPUNCTURE)
Entity Type:Individual
Prefix:
First Name:GILA
Middle Name:
Last Name:PELED
Suffix:
Gender:F
Credentials:LICENCED ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 1ST ST STE 8
Mailing Address - Street 2:
Mailing Address - City:CORONADO
Mailing Address - State:CA
Mailing Address - Zip Code:92118-1414
Mailing Address - Country:US
Mailing Address - Phone:619-435-2522
Mailing Address - Fax:619-437-8114
Practice Address - Street 1:1222 1ST ST STE 8
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-1414
Practice Address - Country:US
Practice Address - Phone:619-435-2522
Practice Address - Fax:619-437-8114
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4409171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist