Healthcare Provider Details

I. General information

NPI: 1871026187
Provider Name (Legal Business Name): ANN ROCELYN OFEL DATINGALING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN ROCELYN OFELIA PELAYO YAP

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4109
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 310-737-2341
  • Fax: 626-317-8142
Mailing address:
  • Phone: 310-737-2341
  • Fax: 626-317-8142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95006235
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-5151
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95006235
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: