Individual provider · Type 1 NPI

Hiram Licon

Student in an Organized Health Care Education/Training Program · Concord, CA

NPI number 1730952664 Active

Practice location

1855 2nd St Ste B
Concord, CA 94519-2623

Mailing address

PO Box 33568
San Diego, CA 92163-3568

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730952664

Hiram Licon's National Provider Identifier is 1730952664, issued on Nov 2, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Concord, CA. The record was last updated on Sep 17, 2025.