Mansilla, Vanessa L

Mansilla, Vanessa L is an individual health care provider with primary practice located at 6517 Eastern Ave , Bell Gardens CA 90201-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mansilla, Vanessa L can be contacted via phone (323) 773-8295.

Contact Information

Primary practice address
6517 Eastern Ave Bell Gardens CA 90201-3003
Fax: (323) 773-0656
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP17679 California

Profile Details

NPI number 1568634723
LBN Legal business name Mansilla, Vanessa L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated Oct 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568634723 NPPES
California Other NP17679 CA LICENSE
California Other NP17679 CA LICENSE

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