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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1841264876 NPPES
California MEDICAID GR0040370

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