1477518843 NPI number — MS. MARIA FE MANGILA WHITE N.P.

Table of content: MS. MARIA FE MANGILA WHITE N.P. (NPI 1477518843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477518843 NPI number — MS. MARIA FE MANGILA WHITE N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WHITE
Provider First Name:
MARIA FE
Provider Middle Name:
MANGILA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MANGILA WHITE
Provider Other First Name:
MARIA
Provider Other Middle Name:
FE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
N.P.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1477518843
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8700 BEVERLY BLVD
Provider Second Line Business Mailing Address:
HEART INSTITUTE
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-423-2077
Provider Business Mailing Address Fax Number:
310-248-8252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8536 WILSHIRE BLVD
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90211-3103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-423-2077
Provider Business Practice Location Address Fax Number:
310-248-8252
Provider Enumeration Date:
04/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  NP8475 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: RN460947 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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