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Organization
KENRICK LICORISH MEDICAL CORPORATION
Active
Organization
KENRICK LICORISH MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENRICK BRIAN LICORISH (PRACTICE OWNER, PSYCHIATRIST)
(408) 384-3758
Entity
Organization
Contact information
Practice address
5201 GREAT AMERICA PKWY STE 320, SANTA CLARA, CA 95054-1140
(408) 384-3758
Mailing address
1968 S COAST HWY # 2623, LAGUNA BEACH, CA 92651-3681
(408) 384-3758
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
06/14/2025
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