Individual
MARY BETH VINGELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-5230
Mailing address
3701 WILSHIRE BLVD., SUITE 600, LOS ANGELES, CA 90278-2337
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95002375
CA
Other
Enumeration date
05/13/2015
Last updated
07/30/2015
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