Provider Demographics
NPI:1891681193
Name:CHEROM, GAYLE GERALYN (DC)
Entity type:Individual
Prefix:DR
First Name:GAYLE
Middle Name:GERALYN
Last Name:CHEROM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:GERALYN
Other - Last Name:HOAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:433 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-3308
Mailing Address - Country:US
Mailing Address - Phone:858-209-4149
Mailing Address - Fax:
Practice Address - Street 1:1250 AUTO PARK WAY STE A
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-2227
Practice Address - Country:US
Practice Address - Phone:760-387-5089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor