Riley, Timothy B

Riley, Timothy B is an sole proprietor health care provider with primary practice located at 4045 3Rd Ave Suite 301, San Diego CA 92103-2132. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Riley, Timothy B can be contacted via phone (619) 297-4901.

Contact Information

Primary practice address
4045 3Rd Ave Suite 301 San Diego CA 92103-2132
Phone: (619) 297-4901
Fax: (619) 688-5993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G33037 California
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X G33037 California
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X G33037 California

Profile Details

NPI number 1124149653
LBN Legal business name Riley, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Nov 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124149653 NPPES
California Other ZZZ57305Z BLUE SHIELD OF CA

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