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

Nicole Deotoy Ilagan

Individual provider Community Health Worker · NPI 1417536913

Nicole Deotoy Ilagan is a Community Health Worker in Reseda, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

7601 Canby Ave Ste 3
Reseda, CA 91335-2979
Phone: (818) 921-3466
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1417536913
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2021
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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