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

Mr. Jonathan M Licht, MD

Individual provider Neurology Physician · NPI 1356321988

Mr. Jonathan M Licht, MD is a Neurology Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4033 3rd Ave Ste 206
San Diego, CA 92103-2117
Phone: (619) 294-9292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence G43892 (CA)

Record details

NPI number1356321988
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJanuary 11, 2010

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