Licorish Medical Corporation
NPI #1942359823 in Garden Grove, California
Provider Information
- NPI Number
- 1942359823
- Entity Type
- Organization
- Organization Name
- Licorish Medical Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8803 GARDEN GROVE BLVD
- City
- Garden Grove
- State
- California
- ZIP Code
- 92844-1211
- Phone
- (714) 523-3154
Authorized Official
- Name
- KENRICK ANTHONY LICORISH, M.D.
- Title
- CEO
- Phone
- (714) 523-3154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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