Mr Joseph Ezra Ilaoa, is a
Rehabilitation Practitioner based in Richvale, California. Mr Joseph Ezra Ilaoa is licensed to practice in * (Not Available) (license number ) and his current practice location is
1229 Broadway St, Richvale, California. He can be reached at his office (for appointments etc.) via phone at
(530) 283-3330.
NPI number for Mr Joseph Ezra Ilaoa is 1245958107 and his current mailing address is 350 Main St, Quincy, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245958107.
Healthcare Provider's Profile
| Full Name | Mr Joseph Ezra Ilaoa |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1229 Broadway St, Richvale, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245958107
- Provider Enumeration Date: 08/17/2022
- Last Update Date: 11/19/2025
Medical Identifiers
Medical identifiers for Mr Joseph Ezra Ilaoa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245958107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Joseph Ezra Ilaoa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Joseph Ezra Ilaoa,
350 Main St,
Quincy, CA 95971
Ph: (530) 283-3330 | Mr Joseph Ezra Ilaoa,
1229 Broadway St,
Richvale, CA 95974
Ph: (530) 283-3330 |
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