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Amnon Licht Md Inc
Specialist in Culver City, California
NPI 1225350200

Amnon Licht Md Inc is a Specialist based in Culver City, CA. Amnon Licht Md Inc practices in Culver City, CA. The NPI Number for Amnon Licht Md Inc is 1225350200 and holds a License No. A32682 (California).

The current practice location address for Amnon Licht Md Inc is 9808 Venice Blvd, Culver City, CA and can be reached out via phone at 310-839-3200 and via fax at 310-839-1247.

Location: 9808 Venice Blvd, Culver City, CA, 90232-2732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225350200
Provider Name
Amnon Licht Md Inc
Credential
Provider Entity Type
Organization
Address
9808 Venice Blvd, Culver City, CA, 90232-2732
Phone Number
310-839-3200
Fax Number
310-839-1247
Provider Enumeration Date
02/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A326820 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
9808 Venice Blvd
City
Culver City
State
California
Zip
90232-2732
Phone Number
310-839-3200
Fax Number
310-839-1247
person
Provider Business Mailing Address Details
Address
9808 Venice Blvd
City
Culver City
State
California
Zip
90232-2732
Phone Number
310-839-3200
Fax Number
310-839-1247
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A32682 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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