Provider Demographics
NPI:1649416116
Name:MARICHI, GABRIEL JOSHUA I (DC)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:JOSHUA
Last Name:MARICHI
Suffix:I
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 1:9130 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-1903
Mailing Address - Country:US
Mailing Address - Phone:626-698-3395
Mailing Address - Fax:626-698-6735
Practice Address - Street 1:9130 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-1903
Practice Address - Country:US
Practice Address - Phone:626-698-3395
Practice Address - Fax:626-698-6735
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-05
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30860111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor