Doctor Name: | DR. BERNARD JOSEPH ILAGAN |
NPI Number: | 1063746485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MHA |
License Number: | ME125766 |
Business Practice Address: | 33608 Ortega Highway San Juan Capistrano, CA - 92675 |
Business Phone Number: | 9497284000 |
Business Fax Number: | |
Mailing Address: | Po Box 379, LOMA LINDA |
State: | CA |
Postal Code: | 923540379 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/01/2009 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207SG0203X |
License Number: | ME125766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Medical Genetics |
Taxonomy Specialization: | Clinical Molecular Genetics |
Taxonomy Definition: | A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |