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

Tomas Miguel Licea

Individual provider Health & Wellness Coach · NPI 1740141530

Tomas Miguel Licea is a Health & Wellness Coach in Los Angeles, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3996 S Hobart Blvd
Los Angeles, CA 90062-1123
Phone: (323) 508-0155
Show map & directions

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

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X · Licence 4DBEA91E63 (CA)

Record details

NPI number1740141530
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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