institution
Paul John Licata Md
Primary Care Clinic/Center in Laguna Hills, California
NPI 1356710438

Paul John Licata Md is a Primary Care Clinic/Center based in Laguna Hills, CA and is specialized in Primary Care. Paul John Licata Md practices in Laguna Hills, CA. The NPI Number for Paul John Licata Md is 1356710438 and holds a License No. A25662CA (California).

The current practice location address for Paul John Licata Md is 25431 Cabot Rd, Laguna Hills, CA and can be reached out via phone at 949-448-9728 and via fax at 949-448-9732.

Location: 25431 Cabot Rd, Laguna Hills, CA, 92653-5518
institution
Provider Profile Details
NPI Number
1356710438
Provider Name
Paul John Licata Md
Credential
Provider Entity Type
Organization
Address
25431 Cabot Rd, Laguna Hills, CA, 92653-5518
Phone Number
949-448-9728
Fax Number
949-448-9732
Provider Enumeration Date
09/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25431 Cabot Rd
City
State
Zip
92653-5518
Phone Number
949-448-9728
Fax Number
949-448-9732
person
Provider Business Mailing Address Details
Address
25431 Cabot Rd
City
State
Zip
92653-5518
Phone Number
949-448-9728
Fax Number
949-448-9732
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
A25662CA (California)
Definition
Definition to come...
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