Mykita, Gayle Mary
Mykita, Gayle Mary is an individual health care provider with primary practice located at 2675 E Slauson Avenue All Care Medical Group Inc, Huntington Park CA 90255. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mykita, Gayle Mary can be contacted via phone (323) 589-6681.Contact Information
Primary practice address
2675 E Slauson Avenue All Care Medical Group Inc
Huntington Park CA 90255
Phone: (323) 589-6681
Fax: (323) 584-2505
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G34500 | California |
Profile Details
NPI number | 1841264876 |
---|---|
LBN Legal business name | Mykita, Gayle Mary |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841264876 | NPPES |
California | MEDICAID | GR0040370 |
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