Kenrick Licorish Medical Corporation

LBN: Kenrick Licorish Medical Corporation
Kenrick Licorish Medical Corporation is an health care organization with primary practice located at 5201 Great America Pkwy Ste 320 , Santa Clara CA 95054-1140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Kenrick Licorish Medical Corporation can be contacted via phone (408) 384-3758, or through Licorish, Kenrick via phone (949) 244-0104.

Contact Information

Primary practice address
5201 Great America Pkwy Ste 320 Santa Clara CA 95054-1140
Phone: (408) 384-3758
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Licorish, Kenrick Doctor of Medicine (MD)
Phone: (949) 244-0104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1518662485
LBN Legal business name Kenrick Licorish Medical Corporation
DBA Doing business as
Authorized official Licorish, Kenrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2023
Last updated Mar 31st, 2023 - about last year

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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