Individual
GAYLE ELEVADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9233 W PICO BLVD, LOS ANGELES, CA 90035-1386
(310) 356-8146
Mailing address
9360 SUNLAND PARK DR, 7, SUN VALLEY, CA 91352-1654
(818) 640-1971
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95005213
CA
363LG0600X
Gerontology Nurse Practitioner
95005213
CA
Other
Enumeration date
10/14/2016
Last updated
12/07/2021
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