Lilly Wilen M.d. a Medical Corporation
NPI #1619028008 in Northridge, California
Provider Information
- NPI Number
- 1619028008
- Entity Type
- Organization
- Organization Name
- Lilly Wilen M.d. a Medical Corporation
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jan 15, 2007
- Last Updated
- Jan 5, 2012
Practice Location
- Address
- 17075 DEVONSHIRE ST
- Address 2
- SUITE 306
- City
- Northridge
- State
- California
- ZIP Code
- 91325-1600
- Phone
- (818) 831-3228
Authorized Official
- Name
- LILLY WILEN, M.D.
- Title
- OWNER
- Phone
- (818) 831-3227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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