Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ILYA MISCHA SKOLNIKOFF, D.C.
Active Sole ProprietorDR. ILYA MISCHA SKOLNIKOFF, D.C. is a Nutrition (Chiropractor) healthcare provider located in SAN RAFAEL, California. NPI 1952584971 is currently active in the NPPES registry. Verify at CMS.
Nutrition (Chiropractor) · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1952584971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2007 (18.714541441237 yrs)
- Last Updated
- Dec 12, 2007
- License
-
DC30524 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
710 C STSUITE 9SAN RAFAEL, CA, 949013857Browse CA providers · Browse ZIP 94901
- Phone
- 4154594313
- Fax
- 4197159257
- Primary Specialty
-
Nutrition (Chiropractor)
111NN1001X
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.