Provider Demographics
NPI:1902290638
Name:KALAY, GURJINDER (DC)
Entity Type:Individual
Prefix:
First Name:GURJINDER
Middle Name:
Last Name:KALAY
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 1:455 N PALORA AVE
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4711
Mailing Address - Country:US
Mailing Address - Phone:530-441-2225
Mailing Address - Fax:530-777-9411
Practice Address - Street 1:455 N PALORA AVE
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4711
Practice Address - Country:US
Practice Address - Phone:530-441-2225
Practice Address - Fax:530-777-9411
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor