Provider Demographics
NPI:1578109302
Name:RANKIN MCDONALD, ARIEL (PHD, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:RANKIN MCDONALD
Suffix:
Gender:F
Credentials:PHD, WHNP-BC
Other - Prefix:
Other - First Name:ARIEL
Other - Middle Name:
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1811 W 41ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90062-1525
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8920 WILSHIRE BLVD STE 511
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1949
Practice Address - Country:US
Practice Address - Phone:310-657-1600
Practice Address - Fax:310-657-4598
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95013362363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health