James Robert Licht (NPI# 1841296506, PAC ID# 5890859334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1841296506 |
| PAC ID by PECOS | 5890859334 |
| Professional Enrollment ID | I20100811001126 |
| Full Name | James Robert Licht |
| Organization Legal Name | CARDIOVASCULAR CARE INC |
| Address |
3801 Katella Ave Suite 401 Los Alamitos CA 90720-3375 |
| Phone Number | 5625941772 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 5890738868 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050551 | LOS ALAMITOS MEDICAL CENTER |
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 | 5625941772 | CARDIOVASCULAR CARE INC |
| Organization Legal Name | CARDIOVASCULAR CARE INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Mendoza | Cardiovascular Disease (cardiology) | Cardiovascular Care Inc | 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 |
| Matthew P Liakos | Cardiovascular Disease (cardiology) | Cardiovascular Care Inc | 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 |
| Adrian Harry Shandling | Cardiovascular Disease (cardiology) | Cardiovascular Care Inc | 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 |
| Mohammad U Qazi | Internal Medicine | Cardiovascular Care Inc | 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 |
| Bruce Edwin Vannatta | Cardiovascular Disease (cardiology) | Cardiovascular Care Inc | 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 |
| Street Address |
3801 KATELLA AVE SUITE 401 |
| City | LOS ALAMITOS |
| State | CA |
| Zip | 90720-3375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Ling Iii | Ophthalmology | Lakewood Eye Physicians and Surgeons Inc A Medical Group | 3801 Katella Ave, Suite 130, Los Alamitos, CA 90720-3362 |
| Omid Vahdat | Cardiovascular Disease (cardiology) | 3801 Katella Ave, Suite 310, Los Alamitos, CA 90720-3366 | |
| Mario Curti | Hematology/oncology | Los Alamitos Hematology/oncology Medical Group, Inc. | 3801 Katella Ave, Suite 207, Los Alamitos, CA 90720-3382 |
| John G Issa | Internal Medicine | Prohealth Partners, A Medical Group | 3801 Katella Ave, Suite 206, Los Alamitos, CA 90720-3358 |
| Emma L Clay | Ophthalmology | Lakewood Eye Physicians and Surgeons Inc A Medical Group | 3801 Katella Ave, Suite 130, Los Alamitos, CA 90720-3362 |
| Michael A Radonich | Dermatology | Alamitos Dermatological Medical Clinic A Professional Corp | 3801 Katella Ave, Suite 425, Los Alamitos, CA 90720-6901 |
| Fernando Mendoza | Cardiovascular Disease (cardiology) | Cardiovascular Care Inc | 3801 Katella Ave, Suite 401, Los Alamitos, CA 90720-3375 |
| Abes S Bagheri | Geriatric Psychiatry | 3801 Katella Ave, Suite 210, Los Alamitos, CA 90720-3378 | |
| Thuc-trinh T Nhu | Ophthalmology | Lakewood Eye Physicians and Surgeons Inc A Medical Group | 3801 Katella Ave, Suite 130, Los Alamitos, CA 90720-3362 |
| Ronald C Holness | General Surgery | 3801 Katella Ave, Suite 420, Los Alamitos, CA 90720-6903 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haniffa M Maznavi | Internal Medicine | 3791 Katella Ave, Suite 101, Los Alamitos, CA 90720-2000 | |
| Sharon Kelly | Psychologist, Clinical | 3791 Katella Ave, Suite 106, Los Alamitos, CA 90720-2000 | |
| Lawrence G Waldrop | Internal Medicine | 3791 Katella Ave, Suite 104, Los Alamitos, CA 90720-2000 | |
| Mauricio J Heilbron Jr. | General Surgery | Prohealth Partners, A Medical Group | 3791 Katella Ave, Suite 107, Los Alamitos, CA 90720-2000 |
| Harold M Lin | Internal Medicine | 3791 Katella Ave, Suite 105, Los Alamitos, CA 90720-2000 | |
| Mark M Chung | Pulmonary Disease | 3791 Katella Ave, Suite 103, Los Alamitos, CA 90720-2000 | |
| Steve C Landis | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| Craig F Hite | Chiropractic | 3621 Farquhar Ave, Los Alamitos, CA 90720-2005 | |
| David L Vannix | General Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Fritz Baumgartner | Thoracic Surgery | Vascular and General Surgery Associates | 3791 Katella Ave, Suite 201, Los Alamitos, CA 90720-2016 |
| Find all physicians in zip 90720 | |||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LOS ALAMITOS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.