ERNESTO LICON

ORANGE, CA
NPI1194254896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CA  A160205)
Enumeration Date2017-06-06
Last Update Date2023-03-07
Business Address
Dr. ERNESTO LICON MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-880-2911
Mailing Address
Dr. ERNESTO LICON MD
200 S MANCHESTER AVE STE 300
ORANGE, CA 92868-3219
Phone number: 714-456-2986