Individual
EDWARD NORTON LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9333 GENESEE AVE, SAN DIEGO, CA 92121-2111
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
C193782
CA
207RH0000X
Hematology (Internal Medicine) Physician
MD60205278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0276849
L&I
WA
05
—
1417978651
—
WA
Enumeration date
07/22/2006
Last updated
11/13/2025
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