NPI 1053240986

Ezra Quinn Licciardi, PARAMEDIC

Practitioner Paramedic Bishop, CA

Practice location

Address: 703 Airport Rd, Bishop, CA 93514-3603
Phone: (760) 872-2201
Mailing address: 42453 28th St W, Lancaster, CA 93536-4023

Registered specialties

Paramedic Primary

Emergency Medical Service Providers Taxonomy 146L00000X Licence P12703 (CA)

Other Emergency Medical Technician, Paramedic providers in California →

Registry record

NPI: 1053240986
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2026
Record last updated: 16 May 2026

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.