Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ida Ghlichloo, MD

Individual provider Assistant Behavior Analyst · NPI 1124529797

Ida Ghlichloo, MD is an Assistant Behavior Analyst in LA Jolla, California. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9500 Gilman Dr
LA Jolla, CA 92093-1653
Phone: (650) 271-9445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 424 Peninsula Ave, San Mateo, CA 94401-1653 — (650) 286-4396

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1124529797
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESOctober 30, 2022
Certification dateOctober 30, 2022
Mailing address472 Biscayne Ave, Foster City, CA 94404-3550