Individual provider · Type 1 NPI
Ezra Quinn Licciardi, PARAMEDIC
Paramedic · Bishop, CA
NPI number
1053240986
Active
Practice location
703 Airport Rd
Bishop, CA 93514-3603
Mailing address
42453 28th St W
Lancaster, CA 93536-4023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Paramedic Primary | 146L00000X | P12703 (CA) |
Paramedic: An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
About NPI 1053240986
Ezra Quinn Licciardi, PARAMEDIC's National Provider Identifier is 1053240986, issued on May 16, 2026. The primary taxonomy on file is Paramedic (146L00000X), and the practice location is in Bishop, CA. The record was last updated on May 16, 2026.