Mitchell, Accie

Mitchell, Accie is an individual health care provider with primary practice located at 19210 S Vermont Ave Bldg D, Suite 400, Gardena CA 90248-4426. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mitchell, Accie can be contacted via phone (310) 436-0202.

Contact Information

Primary practice address
19210 S Vermont Ave Bldg D, Suite 400 Gardena CA 90248-4426
Phone: (310) 436-0202
Fax: (310) 436-0202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C28274 California

Profile Details

NPI number 1679580526
LBN Legal business name Mitchell, Accie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 23rd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679580526 NPPES
California MEDICAID 00C282740

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