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

Shelley Dolkas Lickl, PA

Individual provider Physician Assistant · NPI 1760416572

Shelley Dolkas Lickl, PA is a Physician Assistant in Newport Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Hoag Dr ECU
Newport Beach, CA 92663-4162
Phone: (949) 764-5689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17133 (CA)

Record details

NPI number1760416572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJune 18, 2010

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