Paul John Licata MD
NPI #1356710438 in Laguna Hills, California
Provider Information
- NPI Number
- 1356710438
- Entity Type
- Organization
- Organization Name
- Paul John Licata MD
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 18, 2015
- Last Updated
- Sep 18, 2015
Practice Location
- Address
- 25431 CABOT RD
- Address 2
- STE 115
- City
- Laguna Hills
- State
- California
- ZIP Code
- 92653-5518
- Phone
- (949) 448-9728
Authorized Official
- Name
- DR. PAUL JOHN LICATA, M.D.
- Title
- OWNER
- Phone
- (949) 448-9728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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