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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.