MEDICARE: ILONA ABRAMOVA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	95000463	CA

General Provider Information

NPI Number	:	1588066179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ILONA ABRAMOVA NP

Provider Business Mailing Address
First Line	:	6780 CORIE LN
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2704
Country	:	US
Telephone Number	:	818-645-7151
Fax Number	:

Provider Business Practice Location Address
First Line	:	6780 CORIE LN
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2704
Country	:	US
Telephone Number	:	818-312-5482
Fax Number	:	833-781-6999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	01/29/2025

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