institution
Lilly Wilen M.d. A Medical Corporation
Medical Specialty Clinic/Center in Northridge, California
NPI 1619028008

Lilly Wilen M.d. A Medical Corporation is a Medical Specialty Clinic/Center based in Northridge, CA and is specialized in Medical Specialty. Lilly Wilen M.d. A Medical Corporation practices in Northridge, CA. The NPI Number for Lilly Wilen M.d. A Medical Corporation is 1619028008 and holds a License No. A61876 (California).

The current practice location address for Lilly Wilen M.d. A Medical Corporation is 17075 Devonshire St, Northridge, CA and can be reached out via phone at 818-831-3228 and via fax at 818-831-3447.

Location: 17075 Devonshire St, Northridge, CA, 91325-1600
institution
Provider Profile Details
NPI Number
1619028008
Provider Name
Lilly Wilen M.d. A Medical Corporation
Credential
Provider Entity Type
Organization
Address
17075 Devonshire St, Northridge, CA, 91325-1600
Phone Number
818-831-3228
Fax Number
818-831-3447
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17075 Devonshire St
City
State
Zip
91325-1600
Phone Number
818-831-3228
Fax Number
818-831-3447
person
Provider Business Mailing Address Details
Address
17075 Devonshire St
City
State
Zip
91325-1600
Phone Number
818-831-3228
Fax Number
818-831-3447
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
A61876 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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