MEDICARE: MS. MARIA FE MANGILA WHITE N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP8475	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477518843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA FE MANGILA WHITE N.P.

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

Provider Business Practice Location Address
First Line	:	8536 WILSHIRE BLVD
Second Line	:	STE 201
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3103
Country	:	US
Telephone Number	:	310-423-2077
Fax Number	:	310-248-8252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	10/14/2010

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