Organization
JULIAN LICHTER MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CORONADO (PRACTICE MANAGER)
(619) 819-7224
Entity
Organization
Contact information
Practice address
501 WASHINGTON ST STE 725, SAN DIEGO, CA 92103-2241
(619) 299-2570
(619) 299-2216
Mailing address
501 WASHINGTON ST STE 725, SAN DIEGO, CA 92103-2241
(619) 299-2570
(619) 299-2216
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A33711
CA
207RP1001X
Pulmonary Disease Physician
Primary
A33711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A33711
—
CA
01
—
CR179A
MEDICARE PTAN
CA
Enumeration date
07/22/2006
Last updated
10/02/2025
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