Licorish Medical Corporation
Licorish Medical Corporation is an Internal Medicine Physician in Garden Grove, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
8803 Garden Grove BlvdGarden Grove, CA 92844-1211
Phone: (714) 523-3154
Fax: (714) 523-4970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1942359823 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenrick Licorish — Ceo · (714) 523-3154 |
| NPI enumerated | January 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 8803 Garden Grove Blvd, Garden Grove, CA 92844-1211 |
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