Individual
GAYLE MARY MYKITA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2675 E SLAUSON AVENUE, ALL CARE MEDICAL GROUP INC, HUNTINGTON PARK, CA 90255
(323) 589-6681
(323) 584-2505
Mailing address
2675 E SLAUSON AVENUE, ALL CARE MEDICAL GROUP INC, HUNTINGTON PARK, CA 90255
(323) 589-6681
(323) 584-2505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G34500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0040370
—
CA
Enumeration date
02/15/2006
Last updated
07/08/2007
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