Reilly, Ian

Reilly, Ian is an individual health care provider with primary practice located at 9888 Genesee Ave , La Jolla CA 92037-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reilly, Ian can be contacted via phone (858) 354-6049.

Contact Information

Primary practice address
9888 Genesee Ave La Jolla CA 92037-1205
Phone: (858) 354-6049
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A76423 California

Profile Details

NPI number 1073581914
LBN Legal business name Reilly, Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Dec 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073581914 NPPES
California MEDICAID 00A764230

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