Organization · Type 2 NPI

Paul John Licata MD

Primary Care Clinic/Center · Laguna Hills, CA

NPI number 1356710438 Active

Practice location

25431 Cabot Rd, Ste 115
Laguna Hills, CA 92653-5518

Fax (949) 448-9732

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XA25662CA (CA)

Primary Care Clinic/Center: Definition to come...

10 other providers at this address

Other primary care clinic/center providers in Laguna Hills

See all in Laguna Hills →

About NPI 1356710438

Paul John Licata MD's National Provider Identifier is 1356710438, issued on Sep 18, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Laguna Hills, CA. The record was last updated on Sep 18, 2015.