Organization · Type 2 NPI

Lilly Wilen M.d. A Medical Corporation

Medical Specialty Clinic/Center · Northridge, CA

NPI number 1619028008 Active

Practice location

17075 Devonshire St, Suite 306
Northridge, CA 91325-1600

Fax (818) 831-3447

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA61876 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

46 other providers at this address

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About NPI 1619028008

Lilly Wilen M.d. A Medical Corporation's National Provider Identifier is 1619028008, issued on Jan 15, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Northridge, CA. The record was last updated on Jan 5, 2012.