Michael J Ilas in Temecula - Psychiatry

Michael J Ilas - NPI 1659369445

Michael J Ilas is a Psychiatry in Temecula, California. Michael J Ilas practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Michael J Ilas is 1659369445. The last update date is 2007-07-08.

Michael J Ilas's current location address is Po Box 892577, Temecula, California. You can contact this provider via phone number 5628661895 and fax number 5628665730. The mailing address for Michael J Ilas is Po Box 892577, Temecula, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Ilas
Address Po Box 892577, Temecula, California
Phone Number 5628661895
Fax Number 5628665730
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1659369445
Provider Enumeration Date 2005-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 892577
City Temecula
State California (CA)
Post Code 925892577
Phone Number 5628661895
Fax Number 5628665730

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 20A6560
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00AX65601 CA --
20A6560 CA BLUE SHIELD

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FAQs about Michael J Ilas

What is the unique 10-digit identifier code assigned to Michael J Ilas by the Centers for Medicare & Medicaid Services?

The Michael J Ilas has been issued the NPI (National Provider Identifier) 1659369445 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Michael J Ilas is geographically located?

The Michael J Ilas is physically situated at the following location: Po Box 892577, Temecula, CA, 925892577.

What is Michael J Ilas's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael J Ilas's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659369445 to Michael J Ilas?

The Michael J Ilas received its 1659369445 assignment from the Centers for Medicare & Medicaid Services on 2005-10-06.

As of what date were the details related to Michael J Ilas most recently updated or revised?

The information pertaining to Michael J Ilas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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