Individual
CHARLES DAVID GAYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Mailing address
3850 CRENSHAW BLVD, LOS ANGELES, CA 90008-1821
(323) 751-3026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/09/2023
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