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MARY LICIAGA
NPI 1689805921
Rehabilitation Practitioner in Los Angeles, CA

Active since August 04, 2009
3609 HUGHES AVE, LOS ANGELES, CA 90034(310) 836-1223 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Liciaga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LICIAGA (NPI 1689805921) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1689805921
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMARY LICIAGA
Location Address3609 HUGHES AVELos Angeles, CA 90034-3910
Mailing Address3609 Hughes AveLos Angeles, CA 90034-3910
Phone(310) 836-1223
Sole ProprietorYes
Enumeration DateAugust 4, 2009
✔ NPI 1689805921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3609 HUGHES AVE, Los Angeles, CA 90034
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Liciaga's NPI number?

The NPI number for Mary Liciaga is 1689805921. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Where is Mary Liciaga located?

Mary Liciaga practices at 3609 Hughes Ave, Los Angeles, CA 90034. The listed phone number is (310) 836-1223.

What is Mary Liciaga's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Mary Liciaga was last updated on August 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.