| Ilona Abraham Md Inc | |
|
17815 Ventura Blvd Suite 113 Encino CA 91316-3610 | |
| (818) 345-8721 | |
| (818) 345-7150 |
| Full Name | Ilona Abraham Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 17815 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Ilona Abraham (PRESIDENT) |
| Authorized Official Contact | 8183458721 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilona Abraham Md Inc 17815 Ventura Blvd Suite 113 Encino CA 91316-3610 Ph: (818) 345-8721 | Ilona Abraham Md Inc 17815 Ventura Blvd Suite 113 Encino CA 91316-3610 Ph: (818) 345-8721 |
| NPI Number | 1366654568 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/04/2010 |
| Medicare PECOS PAC ID | 8224163522 |
|---|---|
| Medicare Enrollment ID | O20100311000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366654568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A25564 (California) | Primary |
| Provider Name | Ilona Abraham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700939576 PECOS PAC ID: 3779618079 Enrollment ID: I20100311000650 |
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