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Organization
GAYLE V MITCHELL MD INC
Active
Organization
GAYLE V MITCHELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLE VERNETTE MITCHELL MD (PRESIDENT/OWNER)
(323) 316-9461
Entity
Organization
Contact information
Practice address
1700 E CESAR E CHAVEZ AVE, SUITE 1200, LOS ANGELES, CA 90033-2424
(310) 486-2369
Mailing address
PO BOX 2728, COVINA, CA 91722-8728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A66712
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3245917
SECRETARY OF STATE CALIFORNIA
CA
Enumeration date
01/14/2011
Last updated
08/13/2020
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