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Individual

ACCIE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19210 S VERMONT AVE, BLDG D, SUITE 400, GARDENA, CA 90248-4426
(310) 436-0202
(310) 436-0202
Mailing address
19210 S VERMONT AVE, BLDG D, SUITE 400, GARDENA, CA 90248-4426
(310) 436-0202
(310) 436-0202

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C28274
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C282740
CA
Enumeration date
08/02/2006
Last updated
07/23/2012
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