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Individual

DR. ILYA NIKOLAI VOLK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
477 N EL CAMINO REAL STE C202, ENCINITAS, CA 92024-1332
(760) 631-3500
Mailing address
477 N EL CAMINO REAL STE C202, ENCINITAS, CA 92024-1332

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34343
CA
152WC0802X
Corneal and Contact Management Optometrist
34343
CA

Other

Enumeration date
09/11/2019
Last updated
10/03/2019
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