| Organization Name: | ILONA ABRAHAM MD INC |
| NPI Number: | 1366654568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ILONA ABRAHAM (PRESIDENT) |
| Mailing Address: | 17815 Ventura Blvd Suite 113 Encino |
| State: | CA US |
| Postal Code: | 913163610 |
| Phone Number: | 8183458721 |
| Fax Number: | 8183457150 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 02/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A25564 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |