Provider Demographics
NPI:1285498790
Name:GABBIDON, DAYJON (DC)
Entity type:Individual
Prefix:
First Name:DAYJON
Middle Name:
Last Name:GABBIDON
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 1:5933 CORONADO LN STE 100
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8597
Mailing Address - Country:US
Mailing Address - Phone:925-847-8889
Mailing Address - Fax:
Practice Address - Street 1:5933 CORONADO LN STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8597
Practice Address - Country:US
Practice Address - Phone:925-847-8889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor