Provider Demographics
NPI:1528064987
Name:ILES, JANET NANCY (MD)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:NANCY
Last Name:ILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:NANCY
Other - Last Name:ILES-SOMARATNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6217 CATHEDRAL OAKS RD
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1654
Mailing Address - Country:US
Mailing Address - Phone:760-519-4328
Mailing Address - Fax:
Practice Address - Street 1:6217 CATHEDRAL OAKS RD
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-1654
Practice Address - Country:US
Practice Address - Phone:760-519-4328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG771542083P0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine