Individual
SYLVIA GATES CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4859 W SLAUSON AVE STE 213, LOS ANGELES, CA 90056-3208
(323) 628-6500
(916) 756-0202
Mailing address
5647 W 64TH ST, LOS ANGELES, CA 90056-2235
(916) 704-6427
(916) 756-0202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G50523
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G50523
CA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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