RICHARD LICON, PA-C

PA-C

Physician Assistant

NPI: 1740428101IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA11666(CA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1984

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Contact & Hours

Address: 1401 W 1ST ST STE 101
SANTA ANA, CA 92703
Phone: (714) 542-9700

Quick Facts

NPI: 1740428101
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 42

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