Search › California › 207Q00000X
Wade Licup, MD
NPI 1881157998 · on the registry since 2019 · sole proprietor
Practice
- Address
- 130 Cedar Rd
Vista, CA 92083 - Phone
- (760) 806-5500
- Organisation at this address
- Scripps Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 46
Additional practice sites
- 333 Mercy Ave, Merced, CA
- 4560 Admiralty Way Ste 100, Marina Del Rey, CA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-28
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