Adrian Licon-Carrillo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

711 S New Hampshire Ave
Los Angeles, CA 90005-1831

Phone

(213) 385-5100

Fax

(323) 566-6722

NPI assigned

Mar 26, 2007

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1255458857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SANBORN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271509",
            "telephone_number": "213-385-5100",
            "fax_number": "323-566-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S NEW HAMPSHIRE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051831",
            "telephone_number": "213-385-5100",
            "fax_number": "323-566-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICON-CARRILLO",
        "first_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Lichtenstein, PH.D.
• Nancy Lichtenstein, LMFT
• Dylan Lichter
• Amos Lichtman
• Mary Liciaga
• Alma Licon, R.N.
• Daisy Licon
• Jessie Licon, ASW
• Nicole Mateo Licup Nam, NP
• Lida Esbati Mashayekhi (aandlhhs)

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.