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

Mr. Mickey Iliescu

Individual provider Custodial Care Facility · NPI 1386176808

Mr. Mickey Iliescu is a Custodial Care Facility in Orangevale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

7125 Main Ave
Orangevale, CA 95662-2813
Phone: (916) 987-7285
Fax: (916) 987-7165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X · Licence 347003704 (CA)

Record details

NPI number1386176808
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 3, 2017