Search › California › 363A00000X
Richard Licon, PA-C
NPI 1740428101 · on the registry since 2009
Practice
- Address
- 1401 W 1st St Ste 101
Santa Ana, CA 92703 - Phone
- (714) 542-9700
- Organisation at this address
- Advance Urgent Medical Group Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California