| Michael J Ilas Do A California Professional Medical Corp | |
|
34859 Fredrick Street Suite 111 Wildomar CA 92595 | |
| (562) 866-1895 | |
| (562) 866-5730 |
| Full Name | Michael J Ilas Do A California Professional Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 34859 Fredrick Street, Wildomar, California |
| Authorized Official Name and Position | Michael J Ilas (PROVIDER) |
| Authorized Official Contact | 5628661895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Ilas Do A California Professional Medical Corp Po Box 892577 Temecula CA 92589-2577 Ph: (562) 866-1895 | Michael J Ilas Do A California Professional Medical Corp 34859 Fredrick Street Suite 111 Wildomar CA 92595 Ph: (562) 866-1895 |
| NPI Number | 1932287620 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932287620 | NPI | - | NPPES |
| 20A6560 | Other | CA | BLUE SHIELD |
| 00AX65601 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A6560 (California) | Primary |
Mfi Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21800 Canyon Dr, Wildomar, CA 92595 Phone: 951-698-8558 | |
Resilient Family Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21348 Coral Rock Ln, Wildomar, CA 92595 Phone: 951-236-3625 | |
Little Learners Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23873 Clinton Keith Rd Ste 103, Wildomar, CA 92595 Phone: 951-200-5532 Fax: 951-271-9542 | |
Wildomar Psychotherapy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 33030 Mission Trail, Wildomar, CA 92595 Phone: 951-279-5905 Fax: 951-279-5905 | |
Trevedan, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34778 Hickory Ln, Wildomar, CA 92595 Phone: 562-552-4210 Fax: 310-356-3886 | |
Taylormade Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36330 Hidden Springs Rd Ste E, Wildomar, CA 92595 Phone: 951-500-7636 | |
Mercado Martinez Counseling A Marriage And Family Therapy Corpor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36068 Hidden Springs Rd Ste C1023, Wildomar, CA 92595 Phone: 951-852-2016 |