IndividualActive
Ida Ghlichloo, MD
NPI 1124529797 · Student in an Organized Health Care Education/Training Program · La Jolla, CA
Provider details
- NPI number
- 1124529797
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9500 Gilman Dr
La Jolla, CA 92093-1653
Phone: (650) 271-9445
Approximate (ZIP-level) locationGet directions
Mailing address
472 Biscayne Ave
Foster City, CA 94404-3550
Additional practice locations (1)
- 424 Peninsula AveSan Mateo, CA 94401-1653Phone: (650) 286-4396
Registry dates
- Enumerated
- 2018-02-28
- Last updated
- 2022-10-30
- Certified
- 2022-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.