person
Mr. Jonathan M Licht, MD
Neurology Physician in San Diego, California
NPI 1356321988

Jonathan M Licht is a Neurology Physician based in San Diego, CA and is specialized in Neurology. Jonathan M Licht practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Jonathan M Licht is 1356321988 and holds a License No. G43892 (California).

The current practice location address for Jonathan M Licht is 4033 3Rd Ave, San Diego, CA and can be reached out via phone at 619-294-9292.

Location: 4033 3Rd Ave, San Diego, CA, 92103-2117
person
Provider Profile Details
NPI Number
1356321988
Provider Name
Jonathan M Licht
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4033 3Rd Ave, San Diego, CA, 92103-2117
Phone Number
619-294-9292
Fax Number
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G438921 05 CA
institution
Provider Business Practice Location Address Details
Address
4033 3Rd Ave
City
State
Zip
92103-2117
Phone Number
619-294-9292
Fax Number
person
Provider Business Mailing Address Details
Address
4033 3Rd Ave
City
State
Zip
92103-2117
Phone Number
619-294-9292
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
G43892 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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