Individual
MS. LIORA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 EAST 2ND AVE, ESCONDIDO, CA 92025-4249
(760) 291-6700
(760) 737-7324
Mailing address
46352 LONE PINE DR, TEMECULA, CA 92592-4141
(215) 313-1473
(760) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23172
CA
363AM0700X
Medical Physician Assistant
MA054036
PA
363AM0700X
Medical Physician Assistant
OA003093
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100727800
TPI GROUP MEDICAID
PA
01
—
597586
TPI GROUP MEDICARE
PA
01
—
CD4829
TPI RAILROAD MEDICARE GROUP
PA
Enumeration date
09/22/2009
Last updated
12/13/2024
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