NPI 1003856675

Jay P. Lichman, MD

Practitioner Diagnostic Radiology Physician Newport Beach, CA

Practice location

Address: One Hoag Drive, Newport Beach, CA 92663-4162
Phone: (949) 764-5570
Fax: (949) 263-0473
Mailing address: Dept La 21555, Pasadena, CA 91185-1555

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence G21067 (CA)

Other Radiology providers in California →

Registry record

NPI: 1003856675
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2006
Record last updated: 12 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.