Provider Demographics
NPI:1881169688
Name:DY, MARIA LEILANI APOSTOL (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:MARIA LEILANI
Middle Name:APOSTOL
Last Name:DY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MISS
Other - First Name:MARIA LEILANI
Other - Middle Name:APOSTOL
Other - Last Name:DY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:3707 GARNET ST APT 206
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-3317
Mailing Address - Country:US
Mailing Address - Phone:818-384-6848
Mailing Address - Fax:
Practice Address - Street 1:4505 SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90270-4942
Practice Address - Country:US
Practice Address - Phone:323-771-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95010149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily