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

Myla Domondon Ilagan

Individual provider Assisted Living Facility · NPI 1528821329

Myla Domondon Ilagan is an Assisted Living Facility in Soquel, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

4101 Fairway Dr
Soquel, CA 95073-3002
Phone: (831) 201-4785
Fax: (831) 201-4786
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 445202879 (CA)

Record details

NPI number1528821329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 3, 2024

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