Healthcare Provider Details

I. General information

NPI: 1598775538
Provider Name (Legal Business Name): ILEANA M PAT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ILEANA M POSTOLACHE

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22110 ROSCOE BLVD STE 307
WEST HILLS CA
91304-3860
US

IV. Provider business mailing address

2475 GARDEN FALLS DR
CONROE TX
77384-2122
US

V. Phone/Fax

Practice location:
  • Phone: 818-497-7857
  • Fax: 818-394-6966
Mailing address:
  • Phone: 818-497-7857
  • Fax: 818-350-0555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA69940
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: