Amnon Licht MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A32682 Issued in CA

Legal business name

AMNON LICHT MD INC

Practice address

9808 Venice Blvd
Suite 706
Culver City, CA 90232-2732

Phone

(310) 839-3200

Fax

(310) 839-1247

NPI assigned

Feb 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amnon Licht, M.D.

Title

President

Phone

(310) 839-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1225350200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-839-3200",
            "fax_number": "310-839-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 706",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-839-3200",
            "fax_number": "310-839-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMNON LICHT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "LICHT",
        "authorized_official_first_name": "AMNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-839-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A326820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andranik Amazaspyan
• Helen Pamela Ambe-Amoa, RPH
• Ashley Ambers, PA-C
• Michael Ames, LCSW
• Haneefat Amin
• Anthonia Amobi
• Joel Kofi Ampofo
• Yoon Mi An, FNP-BC, FNP-C
• Ana Marinho
• Leslie Anagnos

• Specialist in Culver City, CA
• Providers in Culver City, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.