Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLA DOMONDON ILAGAN
Active Sole ProprietorMYLA DOMONDON ILAGAN is a Assisted Living Facility healthcare provider located in SOQUEL, California. NPI 1528821329 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · SOQUEL, CA
Registration Details
- NPI Number
- 1528821329
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2024 (2.564285217191 yrs)
- Last Updated
- Feb 5, 2024
- License
-
445202879 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4101 FAIRWAY DRSOQUEL, CA, 950733002Browse CA providers · Browse ZIP 95073
- Phone
- 8312014785
- Fax
- 8312014786
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.