Organization · Type 2 NPI

Paul J. Licata MD Inc.

General Practice Physician · Anaheim, CA

NPI number 1407096720 Active

Practice location

3356 W Ball Rd, Suite 206
Anaheim, CA 92804-3702

Call (714) 827-8890 Map

Fax (714) 827-8905

Mailing address

3356 W Ball Rd Ste 206
Anaheim, CA 92804-3728

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000XA25662 (CA)
General Practice Physician Primary 208D00000XA25662 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

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About NPI 1407096720

Paul J. Licata MD Inc.'s National Provider Identifier is 1407096720, issued on Feb 26, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Anaheim, CA. The record was last updated on Apr 15, 2011.