La Jolla Emergency Physician'S Medical Group

LBN: Edwin Iliff, M.D.,Inc.
La Jolla Emergency Physician'S Medical Group is an health care organization with primary practice located at 9888 Genesee Ave , La Jolla CA 92037-1205. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Edwin Iliff, M.D.,Inc. can be contacted via phone (858) 626-6150, or through Iliff, Edwin via phone (858) 626-6150.

Contact Information

Primary practice address
9888 Genesee Ave La Jolla CA 92037-1205
Fax: (858) 626-7117
Website:
Authorized official contact:
Name: Iliff, Edwin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X California

Profile Details

NPI number 1588694855
LBN Legal business name Edwin Iliff, M.D.,Inc.
DBA Doing business as La Jolla Emergency Physician'S Medical Group
Authorized official Iliff, Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588694855 NPPES
California MEDICAID GR0068010

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