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Jay P. Lichman, MD
Diagnostic Radiology Physician in Newport Beach, California
NPI 1003856675

Jay P. Lichman is a Diagnostic Radiology Physician based in Pasadena, CA and is specialized in Diagnostic Radiology. Jay P. Lichman practices in Newport Beach, CA and has the professional credentials of MD. The NPI Number for Jay P. Lichman is 1003856675 and holds a License No. G21067 (California).

The current practice location address for Jay P. Lichman is One Hoag Drive, Newport Beach, CA and can be reached out via phone at 949-764-5570 and via fax at 949-263-0473.

Location: One Hoag Drive, Newport Beach, CA, 91185-1555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003856675
Provider Name
Jay P. Lichman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Hoag Drive, Newport Beach, CA, 91185-1555
Phone Number
949-764-5570
Fax Number
949-263-0473
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G210670 05 CA
00G210670 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
One Hoag Drive
City
Newport Beach
State
California
Zip
92663-4162
Phone Number
949-764-5570
Fax Number
949-263-0473
person
Provider Business Mailing Address Details
Address
One Hoag Drive
City
Newport Beach
State
California
Zip
92663-4162
Phone Number
949-764-5570
Fax Number
949-263-0473
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G21067 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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