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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAUL J. LICATA MD INC.

Active Organization

PAUL J. LICATA MD INC. is a General Practice organization located in ANAHEIM, California. NPI 1407096720 is currently active in the NPPES registry. Verify at CMS.

General Practice · ANAHEIM, CA

Registration Details

NPI Number
1407096720
Provider Type
Organization
NPI Issued
Feb 26, 2009 (17.279860319762 yrs)
Last Updated
Apr 15, 2011
Licenses
A25662 (CA)
A25662 (CA)

Practice Information

Address
3356 W BALL RD
SUITE 206
ANAHEIM, CA, 928043702
Browse CA providers · Browse ZIP 92804
Phone
7148278890
Fax
7148278905
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.