Stephen Licata is a Anesthesiology in Larkspur, California. Stephen Licata practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Stephen Licata is 1720190580. The last update date is 2019-09-26.
Stephen Licata's current location address is Po Box 527, Larkspur, California. You can contact this provider via phone number 8889911101 and fax number 9037875854. The mailing address for Stephen Licata is Po Box 527, Larkspur, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Licata |
|---|---|
| Address | Po Box 527, Larkspur, California |
| Phone Number | 8889911101 |
| Fax Number | 9037875854 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1720190580 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2019-09-26 |
Provider Mailing Address Detail
| Address | Po Box 527 |
|---|---|
| City | Larkspur |
| State | California (CA) |
| Post Code | 949770527 |
| Phone Number | 8889911101 |
| Fax Number | 9037875854 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | G80519 |
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Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient |
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What is the unique identifier code issued to Stephen Licata by the Centers for Medicare & Medicaid Services?
The Stephen Licata has been assigned the NPI (National Provider Identifier) 1720190580. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stephen Licata is geographically located?
The Stephen Licata is physically situated at the following location: Po Box 527, Larkspur, CA, 949770527.
What is Stephen Licata's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen Licata is Anesthesiology, and the taxonomy classification code that categorizes this area of expertise is 207L00000X.
On what date did Stephen Licata receive its 1720190580 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Licata was assigned its 1720190580 on 2006-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Stephen Licata's information last updated?
The Stephen Licata's information was last updated on 2019-09-26.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA