Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul J. Licata MD Inc

Organization General Practice Registered Nurse · NPI 1407096720

Paul J. Licata MD Inc is a General Practice Registered Nurse in Anaheim, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3356 W Ball Rd Ste 206
Anaheim, CA 92804-3702
Phone: (714) 827-8890
Fax: (714) 827-8905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A25662 (CA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence A25662 (CA)

Record details

NPI number1407096720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Licata — Owner · (714) 827-8890
NPI enumeratedFebruary 26, 2009
Last updated in NPPESApril 15, 2011
Mailing address3356 W Ball Rd Ste 206, Anaheim, CA 92804-3728

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