Healthcare Provider Details

I. General information

NPI: 1134067440
Provider Name (Legal Business Name): ALANA MANDRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 240
BURBANK CA
91505-4559
US

IV. Provider business mailing address

6121 MANTON AVE
WOODLAND HILLS CA
91367-1336
US

V. Phone/Fax

Practice location:
  • Phone: 818-880-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: