Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDA GHLICHLOO, MD
DeactivatedIDA GHLICHLOO, MD is a Student (Health Education/Training) healthcare provider located in LA JOLLA, California. NPI 1124529797 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · LA JOLLA, CA
This NPI has been deactivated.
The record was deactivated on April 11, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1124529797
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2018 (4.1150684931507 yrs)
- Last Updated
- Oct 30, 2022
- Deactivated
- Apr 11, 2022
Practice Information
- Address
-
9500 GILMAN DRLA JOLLA, CA, 920931653Browse CA providers · Browse ZIP 92093
- Phone
- 6502719445
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| JEANNE ELENA MAGLIONE | M.D. | 1215077003 |
| DR. ALANA IGLEWICZ | M.D. | 1225163637 |
| SADAKATSU IKEDA | MD | 1699925255 |
| JONATHAN TUNG | MD | 1649505744 |
| KRISHNAN RANGARAJAN | M.D. | 1750691523 |
| SHABNAM KHASHABI TAYLOR | M.D. | 1487944062 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.