Provider Demographics
NPI:1619857950
Name:EPILMOOD LLC
Entity type:Organization
Organization Name:EPILMOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHRYSTYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DYTSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-798-5670
Mailing Address - Street 1:7484 HOLWORTHY WAY APT 137
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-4134
Mailing Address - Country:US
Mailing Address - Phone:916-798-5670
Mailing Address - Fax:
Practice Address - Street 1:1337 HOWE AVE STE 105
Practice Address - Street 2:ROOM 2
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3314
Practice Address - Country:US
Practice Address - Phone:916-798-5670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty