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Kenrick A Licorish

  • Male

Medical Specialty

Professional ID

  • NPI: 1003947755
  • PECOS ID: 2365497914
  • Enrollment ID: I20050316000454
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1978

Location

  • Address1: 520 N Main St
  • Address2: Suite 240
  • City: Santa Ana
  • State: California
  • Zip Code: 92701
  • Phone Number: (714)460-2948

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):