Individual
JOHN ALEC GAITE MORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 4TH AVE STE 404, CHULA VISTA, CA 91910-4413
(619) 425-7470
(619) 425-7472
Mailing address
480 4TH AVE STE 404, CHULA VISTA, CA 91910-4413
(619) 425-7470
(619) 425-7472
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A137454
CA
Other
Enumeration date
06/07/2013
Last updated
09/12/2022
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