Provider Demographics
NPI:1942564018
Name:HAMILTON, GINA ROSALINDA (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:ROSALINDA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5837 COMSTOCK AVE APT 27E
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-5409
Mailing Address - Country:US
Mailing Address - Phone:818-641-6836
Mailing Address - Fax:
Practice Address - Street 1:217 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3603
Practice Address - Country:US
Practice Address - Phone:714-731-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 31953111N00000X
CAAC 14851171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist