Amnon Licht Md Inc

LBN: Amnon Licht Md Inc
Amnon Licht Md Inc is an health care organization with primary practice located at 9808 Venice Blvd Suite 706, Culver City CA 90232-2732. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Amnon Licht Md Inc can be contacted via phone (310) 839-3200, or through Licht, Amnon via phone (310) 839-3200.

Contact Information

Primary practice address
9808 Venice Blvd Suite 706 Culver City CA 90232-2732
Phone: (310) 839-3200
Fax: (310) 839-1247
Website:
Map and Directions
Authorized official contact:
Name: Licht, Amnon Doctor of Medicine (MD)
Phone: (310) 839-3200

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A32682 California

Profile Details

NPI number 1225350200
LBN Legal business name Amnon Licht Md Inc
DBA Doing business as
Authorized official Licht, Amnon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Feb 18th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225350200 NPPES
California Other 00A326820 MEDI-CAL

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