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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
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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