Individual
ELLAH BAKLASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25350 MAGIC MOUNTAIN PKWY STE 300, VALENCIA, CA 91355-1356
(661) 762-3185
Mailing address
25350 MAGIC MOUNTAIN PKWY STE 300, VALENCIA, CA 91355-1356
(661) 762-3185
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95033581
CA
Other
Enumeration date
01/18/2025
Last updated
10/06/2025
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