Individual
AILEEN C TANGONAN MACANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN NP
Contact information
Practice address
15503 VENTURA BLVD STE 150, ENCINO, CA 91436-3115
(818) 995-8044
(818) 995-8007
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
583576
CA
207RH0003X
Hematology & Oncology Physician
15854
CA
363L00000X
Nurse Practitioner
Primary
15854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15854
NURSE PRACTIONER LICENSE
CA
Enumeration date
06/27/2007
Last updated
04/24/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us