Tommy L. Hicks, M.D., Inc.

LBN: Tommy L. Hicks, M.D., Inc.
Tommy L. Hicks, M.D., Inc. is an health care organization with primary practice located at 23521 Paseo De Valencia Ste 108 , Laguna Hills CA 92653-3137. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tommy L. Hicks, M.D., Inc. can be contacted via phone (949) 588-7262, or through Hicks, Tommy Leonard via phone (949) 588-7262.

Contact Information

Primary practice address
23521 Paseo De Valencia Ste 108 Laguna Hills CA 92653-3137
Phone: (949) 588-7262
Fax: (949) 588-7260
Website:
Map and Directions
Authorized official contact:
Name: Hicks, Tommy Leonard Doctor of Medicine (MD)
Phone: (949) 588-7262

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G48888 California

Profile Details

NPI number 1457382335
LBN Legal business name Tommy L. Hicks, M.D., Inc.
DBA Doing business as
Authorized official Hicks, Tommy Leonard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Dec 7th, 2007 - about 17 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 1457382335 NPPES
California MEDICAID 00G488880

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