Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illya Clemmons

Individual provider Case Manager/Care Coordinator · NPI 1457471005

Illya Clemmons is a Case Manager/Care Coordinator in Los Angeles, California. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

9512 Anzac Ave
Los Angeles, CA 90002-2517
Phone: (323) 564-1864
Fax: (323) 564-4892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1457471005
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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