Mr. Jonathan M Licht is a San Diego, California based neurologist who is specialized in Neurology. Active license number of Mr. Jonathan M Licht is G43892 for Neurology in California. His current practice location is 4033 3rd Ave, Suite 206, San Diego. Patients can reach him at 619-294-9292. Mr. Jonathan M Licht is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1356321988. Mr. Jonathan M Licht specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Mr. Jonathan M Licht speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Jonathan M Licht
Specialization:
Neurology
Gender:
Male
Credentials:
MD
Practice Address:
4033 3rd Ave, Suite 206, San Diego, California, 92103-2117
Phone:
619-294-9292
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1356321988
NPI Enumeration Date:
19 Jan, 2006
NPI Last Update On:
11 Jan, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jonathan M Licht are as mentioned below.
License Number
Specialization
State
Status
G43892
Neurology
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jonathan M Licht such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00G438921
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Jonathan M Licht 4033 3rd Ave, Suite 206 San Diego, California
Zip:
92103-2117
Phone Number:
619-294-9292
Patients can reach Mr. Jonathan M Licht at 4033 3rd Ave, Suite 206, San Diego, California or can call to book an appointment on 619-294-9292.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.