Provider Demographics
NPI:1730260878
Name:GELFOUND, CRAIG JOEL (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:JOEL
Last Name:GELFOUND
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 1:1629 WEST AVENUE J
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2850
Mailing Address - Country:US
Mailing Address - Phone:661-942-3346
Mailing Address - Fax:661-942-0886
Practice Address - Street 1:1629 WEST AVENUE J
Practice Address - Street 2:SUITE 101
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2850
Practice Address - Country:US
Practice Address - Phone:661-942-3346
Practice Address - Fax:661-942-0886
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23256111NS0005X, 111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NS0005XChiropractic ProvidersChiropractorSports Physician
Not Answered111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA23256OtherCARRIERS OTHER THAN BLUE
CA23256OtherCARRIERS OTHER THAN BLUE
CADC0232560Medicare UPIN