Provider Demographics
NPI:1689403826
Name:BYKOV, MONICA ELIZABETH (IBCLC, RN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ELIZABETH
Last Name:BYKOV
Suffix:
Gender:F
Credentials:IBCLC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 HOOD DR
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-2418
Mailing Address - Country:US
Mailing Address - Phone:818-400-0544
Mailing Address - Fax:
Practice Address - Street 1:2058 HOOD DR
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-2418
Practice Address - Country:US
Practice Address - Phone:818-400-0544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-315730163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty