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MICHAEL J ILAS DO A CALIFORNIA PROFESSIONAL MEDICAL CORP NPI 1932287620


NPI Information

NPI: 1932287620
Provider Name: MICHAEL J ILAS DO A CALIFORNIA PROFESSIONAL MEDICAL CORP
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
34859 FREDRICK STREET
SUITE 111
WILDOMAR, CA
ZIP 92595
Phone: (562) 866-1895
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MICHAEL J ILAS DO A CALIFORNIA PROFESSIONAL MEDICAL CORP is a psychiatry psychiatry neurology in Wildomar, CA. The provider is 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 disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MICHAEL J ILAS DO A CALIFORNIA PROFESSIONAL MEDICAL CORP NPI is 1932287620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34859 FREDRICK STREET
SUITE 111
WILDOMAR, CA
ZIP 92595
Phone: (562) 866-1895
Fax: (562) 866-5730

The provider's authorized official is Michael J Ilas .
The authorized official title is Provider and has the following contact phone number (562) 866-1895.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry20A6560CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100AX65601MEDICAIDCALIFORNIA
220A6560OTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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