Provider Demographics
NPI:1790793248
Name:TILKI, NATALIA (DO)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:TILKI
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Gender:F
Credentials:DO
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Mailing Address - Street 1:16260 VENTURA BLVD
Mailing Address - Street 2:STE 711
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2256
Mailing Address - Country:US
Mailing Address - Phone:661-717-2793
Mailing Address - Fax:323-933-0808
Practice Address - Street 1:16260 VENTURA BLVD
Practice Address - Street 2:STE 711
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2256
Practice Address - Country:US
Practice Address - Phone:323-316-8186
Practice Address - Fax:323-933-0808
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2017-10-23
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Provider Licenses
StateLicense IDTaxonomies
CA20A8859207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA127579Medicare UPIN