Licorish Medical Corporation

LBN: Licorish Medical Corporation
Licorish Medical Corporation is an health care organization with primary practice located at 8803 Garden Grove Blvd , Garden Grove CA 92844-1211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Licorish Medical Corporation can be contacted via phone (714) 523-3154, or through Licorish, Kenrick Anthony via phone (714) 523-3154.

Contact Information

Primary practice address
8803 Garden Grove Blvd Garden Grove CA 92844-1211
Phone: (714) 523-3154
Fax: (714) 523-4970
Website:
Map and Directions
Authorized official contact:
Name: Licorish, Kenrick Anthony Doctor of Medicine (MD)
Phone: (714) 523-3154

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1942359823
LBN Legal business name Licorish Medical Corporation
DBA Doing business as
Authorized official Licorish, Kenrick Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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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