Individual
ILONA V MALYGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16550 VENTURA BLVD STE 204, ENCINO, CA 91436-4563
(818) 300-7930
Mailing address
13439 MOORPARK ST # 39E, SHERMAN OAKS, CA 91423-3841
(818) 300-7930
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
PR0282219
CA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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