| Michael J Ilas, DO | |
|
34859 Fredrick Street, Suite 111, Wildomar, CA 92595 | |
| (562) 866-1895 | |
| (562) 866-5730 |
| Full Name | Michael J Ilas |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 34859 Fredrick Street, Wildomar, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659369445 | NPI | - | NPPES |
| 00AX65601 | Medicaid | CA | |
| 20A6560 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A6560 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Ilas, DO Po Box 892577, Temecula, CA 92589-2577 Ph: (562) 866-1895 | Michael J Ilas, DO 34859 Fredrick Street, Suite 111, Wildomar, CA 92595 Ph: (562) 866-1895 |
Imdad Yusufaly Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 36243 Inland Valley Dr, Ste 170, Wildomar, CA 92595 Phone: 951-677-1767 Fax: 951-677-5084 |