SearchCalifornia122300000X

Il Nam, DDS

NPI 1508864695 · on the registry since 2005

Practice

Address
17675 Van Buren Blvd
Suite D
Riverside, CA 92504
Phone
(951) 789-1133
Fax
(951) 789-2560
Organisation at this address
Woodcrest Vision Center
Vision For Life Optometry, Inc.
Woodcrest Vision Center- Optometry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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