Organization
EDWIN ILIFF, M.D.,INC.
Active
Other names
La Jolla Emergency Physician's Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ILIFF M.D. (OWNER)
(858) 626-6150
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-6150
(858) 626-7117
Mailing address
PO BOX 661687, ARCADIA, CA 91066-1687
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068010
—
CA
Enumeration date
07/03/2006
Last updated
07/21/2022
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