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

SHELLEY DOLKAS LICKL, PA

Active

Physician Assistant · NEWPORT BEACH, CA

Registration Details

NPI Number
1760416572
Provider Type
Individual
Gender
Female
NPI Issued
Jul 10, 2006 (19.787868155161 yrs)
Last Updated
Jun 18, 2010
License
PA17133 (CA)

Practice Information

Address
1 HOAG DR
ECU
NEWPORT BEACH, CA, 926634162
Browse CA providers · Browse ZIP 92663
Phone
9497645689
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in NEWPORT BEACH, CA

Name Credential NPI
HECTOR C GONZALEZ PA-C 1689676306
GINA M G DUEL MS PAC 1912985979
MELISSA MARIE CALLIHAM P.A-C 1790725687
MRS. BRENDA ANN BUSHEY PA-C 1700827664
JANET GEISLER NAKAMURA PA-C 1972547537
JILL RYAN PA 1033143607
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.