Individual
ILYA YAKHNENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36485 INLAND VALLEY DR, WILDOMAR, CA 92595-9681
(951) 677-1111
Mailing address
3208 CORTE PACIFICA, CARLSBAD, CA 92009-6096
(442) 325-1537
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A132053
CA
Other
Enumeration date
05/11/2012
Last updated
07/26/2016
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