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James Licavoli
NPI 1609454586 · on the registry since 2021 · sole proprietor
Practice
- Address
- 729 W Manchester Ave
Los Angeles, CA 90044 - Phone
- (323) 814-9100
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Sex
- Male
- Record last updated
- 2021-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California