Hicks, Tommy Leonard
Hicks, Tommy Leonard is an sole proprietor health care provider with primary practice located at 23521 Paseo De Valencia Suite 108, Laguna Hills CA 92653-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hicks, Tommy Leonard can be contacted via phone (949) 588-7262.Contact Information
Primary practice address
23521 Paseo De Valencia Suite 108
Laguna Hills CA 92653-3107
Phone: (949) 588-7262
Fax: (949) 588-7260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G48888 | California |
Profile Details
| NPI number | 1760513758 |
|---|---|
| LBN Legal business name | Hicks, Tommy Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Dec 7th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760513758 | NPPES |
| California | Other | G48888 | MEDICAL LICENSE |
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