Search › California › 171M00000X
Illya Clemmons
NPI 1457471005 · on the registry since 2007
Practice
- Address
- 9512 Anzac Ave
Los Angeles, CA 90002 - Phone
- (323) 564-1864
- Fax
- (323) 564-4892
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California