MEDICARE: JANET NANCY ILES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	G77154	CA
2	207R00000X	Internal Medicine Physician	G77154	CA

General Provider Information

NPI Number	:	1528064987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET NANCY ILES M.D.

Provider Business Mailing Address
First Line	:	6217 CATHEDRAL OAKS RD
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-1654
Country	:	US
Telephone Number	:	760-519-4328
Fax Number	:

Provider Business Practice Location Address
First Line	:	6217 CATHEDRAL OAKS RD
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-1654
Country	:	US
Telephone Number	:	760-519-4328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	12/03/2008

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