Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN M LICEA
Active Sole ProprietorSTEVEN M LICEA is a 163WM1400X healthcare provider located in WINDSOR, California. NPI 1114898418 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · WINDSOR, CA
Registration Details
- NPI Number
- 1114898418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2025 (0.94992137408067 yrs)
- Last Updated
- Sep 17, 2025
- License
-
95188212 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9133 SAINT JAMES PLWINDSOR, CA, 954928332Browse CA providers · Browse ZIP 95492
- Phone
- 7074801773
- Primary Specialty
-
163WM1400X
163WM1400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.