Individual
DR. ADENA MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 783-1338
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A161509
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
09/21/2020
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