Individual
DR. BERNARD JOSEPH ILAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MHA
Contact information
Practice address
33608 ORTEGA HIGHWAY, SAN JUAN CAPISTRANO, CA 92675
(949) 728-4000
Mailing address
PO BOX 379, LOMA LINDA, CA 92354-0379
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
Primary
ME125766
FL
208D00000X
General Practice Physician
2023-02684
NC
208D00000X
General Practice Physician
C194982
CA
208D00000X
General Practice Physician
ME125766
FL
Other
Enumeration date
10/01/2009
Last updated
03/25/2024
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