PAUL J. LICATA MD INC. NPI 1407096720

NPI Information

PAUL J. LICATA MD INC. is a general practice in Anaheim, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PAUL J. LICATA MD INC. NPI is 1407096720. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3356 W BALL RD
SUITE 206
ANAHEIM, CA
ZIP 92804-702
Phone: (714) 827-8890
Fax: (714) 827-8905

The provider's authorized official is Paul James Licata .
The authorized official title is Owner and has the following contact phone number (714) 827-8890.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 4/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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