Organization
ILLURA HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LAYSON (PRACTICE OWNER)
(818) 689-2851
Entity
Organization
Contact information
Practice address
10328 RESEDA BLVD, NORTHRIDGE, CA 91326-3433
(818) 689-2851
Mailing address
10328 RESEDA BLVD, NORTHRIDGE, CA 91326-3433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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