Search › California › 122300000X
Vanja Illich
NPI 1952448078 · on the registry since 2007
Practice
- Address
- 5247 Elkhorn Blvd
#C
Sacramento, CA 95842 - Phone
- (916) 344-2554
- Fax
- (916) 332-2472
- Organisation at this address
- Western Dental Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
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
- 2007-07-09
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