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

Paul John Licata MD

Organization Primary Care Clinic/Center · NPI 1356710438

Paul John Licata MD is a Primary Care Clinic/Center in Laguna Hills, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

25431 Cabot Rd Ste 115
Laguna Hills, CA 92653-5518
Phone: (949) 448-9728
Fax: (949) 448-9732
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence A25662CA (CA)

Record details

NPI number1356710438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Licata — Owner · (949) 448-9728
NPI enumeratedSeptember 18, 2015
Last updated in NPPESSeptember 18, 2015
Mailing address25431 Cabot Rd, Ste 115, Laguna Hills, CA 92653-5518

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