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Contact Information

CHRISTINE J LICATA
2300 BELL EXECUTIVE LN
SACRAMENTO, CA95825-4068
 Phone: 925-685-4224
 Fax: 925-685-6997
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for CHRISTINE J LICATA · (Female)

NPI Number 1437619533
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2019
Last updated 02/13/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A176389
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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