Individual
DR. JAY P DILIBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18800 DELAWARE ST STE 850, HUNTINGTON BEACH, CA 92648-6087
(714) 596-2800
(714) 596-0551
Mailing address
18800 DELAWARE ST STE 850, HUNTINGTON BEACH, CA 92648-6087
(714) 596-2800
(714) 596-0551
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G65221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G652210
—
CA
Enumeration date
12/29/2006
Last updated
07/08/2007
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