IDA GHLICHLOO MD
NPI 1124529797
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since February 28, 2018
9500 GILMAN DR, LA JOLLA, CA 92093(650) 271-9445 Get Directions Write a Review

NPPES record last updated: October 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2022, Oct 20, 2022, Feb 28, 2018 (3 updates tracked since 2018).

About Ida Ghlichloo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDA GHLICHLOO MD (NPI 1124529797) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since February 2018. She maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1124529797
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIDA GHLICHLOOCredential: MD
Location Address9500 GILMAN DRLa Jolla, CA 92093-1653
Mailing Address472 Biscayne AveFoster City, CA 94404-3550 · (650) 288-8041
Sole ProprietorNo
Enumeration DateFebruary 28, 2018
Last NPPES UpdateOctober 30, 20223 updates tracked since enumeration
NPPES CertifiedOctober 30, 2022
NPI 1124529797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
9500 GILMAN DR, La Jolla, CA 92093

Secondary Practice Location 1

Location 1424 Peninsula AveSan Mateo, CA 94401-1653 · Phone (650) 286-4396

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR
LA JOLLA, CA 92093
Radiology (Diagnostic Radiology)
9500 GILMAN DR
LA JOLLA, CA 92093
Internal Medicine
9500 GILMAN DR, MAIL CODE 9111-H
LA JOLLA, CA 92093
Nurse Practitioner (Adult Health)
9500 GILMAN DR, # 0039
LA JOLLA, CA 92093
Specialist/Technologist (Athletic Trainer)
9500 GILMAN DR, MC0529
LA JOLLA, CA 92093
Orthopaedic Surgery
9500 GILMAN DR
LA JOLLA, CA 92093
Student in an Organized Health Care Education/Training Program
9500 GILMAN DR
LA JOLLA, CA 92093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida Ghlichloo's NPI number?

The NPI number for Ida Ghlichloo is 1124529797. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Ida Ghlichloo located?

Ida Ghlichloo practices at 9500 Gilman Dr, La Jolla, CA 92093. The listed phone number is (650) 271-9445.

What is Ida Ghlichloo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ida Ghlichloo was last updated on October 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.