Provider Demographics
NPI:1588066179
Name:ABRAMOVA, ILONA (NP)
Entity type:Individual
Prefix:
First Name:ILONA
Middle Name:
Last Name:ABRAMOVA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6780 CORIE LN
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2704
Mailing Address - Country:US
Mailing Address - Phone:818-645-7151
Mailing Address - Fax:
Practice Address - Street 1:6780 CORIE LN
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2704
Practice Address - Country:US
Practice Address - Phone:818-312-5482
Practice Address - Fax:833-781-6999
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95000463363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health