Provider Demographics
NPI:1477518843
Name:WHITE, MARIA FE MANGILA (NP)
Entity Type:Individual
Prefix:MS
First Name:MARIA FE
Middle Name:MANGILA
Last Name:WHITE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:FE
Other - Last Name:MANGILA WHITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:8700 BEVERLY BLVD
Mailing Address - Street 2:HEART INSTITUTE
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-423-2077
Mailing Address - Fax:310-248-8252
Practice Address - Street 1:8536 WILSHIRE BLVD
Practice Address - Street 2:STE 201
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3103
Practice Address - Country:US
Practice Address - Phone:310-423-2077
Practice Address - Fax:310-248-8252
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP8475363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN460947Medicaid
Q00585Medicare UPIN
CAWNP8475AMedicare ID - Type Unspecified