Provider Demographics
NPI:1316069925
Name:CEPEDA, GAYLYNNE LAYOLA (DC)
Entity type:Individual
Prefix:
First Name:GAYLYNNE
Middle Name:LAYOLA
Last Name:CEPEDA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12610 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-3508
Mailing Address - Country:US
Mailing Address - Phone:909-902-1150
Mailing Address - Fax:909-902-6900
Practice Address - Street 1:12610 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3508
Practice Address - Country:US
Practice Address - Phone:909-902-1150
Practice Address - Fax:909-902-6900
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 30505111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor