Provider Demographics
NPI:1184078859
Name:FERENCZ, GERALD (DC)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:
Last Name:FERENCZ
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 1:18591 HILLHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-2128
Mailing Address - Country:US
Mailing Address - Phone:714-665-9355
Mailing Address - Fax:714-926-9240
Practice Address - Street 1:1250 CABRILLO PARK DR APT B
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-3147
Practice Address - Country:US
Practice Address - Phone:323-810-2621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2021-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33387111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician