Shelley Dolkas Lickl
NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC


Address: 1 Hoag Dr, Newport Beach, CA 92663-4162
Phone: 9496453534

Shelley Dolkas Lickl (NPI# 1760416572, PAC ID# 3375532203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1760416572
PAC ID by PECOS 3375532203
Professional Enrollment ID I20090508000286
Full Name Shelley Dolkas Lickl
Organization Legal Name NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC
Address 1 Hoag Dr
Newport Beach
CA 92663-4162
Phone Number 9496453534
Gender F
Graduation Year 2003
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1850285735
Number of Group Practice Members 42
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050224 HOAG MEMORIAL HOSPITAL PRESBYTERIAN

Other Locations

Address Phone Organization
1 Hoag Dr, Newport Beach, CA 92663-4162 9496453534 NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC

Organization Information

Organization Legal Name NEWPORT HARBOR RADIOLOGY ASSOCIATES MEDICAL GROUP, INC
Physicians 46

Physicians with the same organization

Name Specialty Organization Address
Christopher Boyd Baker Interventional Radiology Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
Jennifer M-j Overstreet Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 19582 Beach Blvd, Suite 160, Huntington Beach, CA 92648-2996
Nina R Woldenberg Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
Sarah Y Chan Physician Assistant Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
Shaya Ghazinoor Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 16200 Sand Canyon Ave, Irvine, CA 92618-3714
Zaihleen Shariff Keller Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
Scott Thomas Williams Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 16200 Sand Canyon Ave, Irvine, CA 92618-3714
Karence Chan Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 16200 Sand Canyon Ave, Irvine, CA 92618-3714
Saghi S Brown Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
January K Lopez Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 16200 Sand Canyon Ave, Irvine, CA 92618-3714

Office Location

Street Address 1 HOAG DR
City NEWPORT BEACH
State CA
Zip 92663-4162

Physicians in the same location

Name Specialty Organization Address
Michael Gray Hospitalist Pacific Hospitalist Associates 1 Hoag Dr, Newport Beach, CA 92663-4162
Christopher Boyd Baker Interventional Radiology Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
Brian N Kong Hospitalist Pacific Hospitalist Associates 1 Hoag Dr, Newport Beach, CA 92663-4162
Nhat Quang Tran Hospitalist Pacific Hospitalist Associates 1 Hoag Dr, Newport Beach, CA 92663-4162
Bhavini Jaiswal Internal Medicine Newport Critical Care Physicians 1 Hoag Dr, Newport Beach, CA 92663-4162
Allyson A Hoppe Hospitalist Pacific Hospitalist Associates 1 Hoag Dr, Newport Beach, CA 92663-4162
Jadwiga Close Hospitalist Pacific Hospitalist Associates 1 Hoag Dr, Newport Beach, CA 92663-4162
Nina R Woldenberg Diagnostic Radiology Newport Harbor Radiology Associates Medical Group, Inc 1 Hoag Dr, Newport Beach, CA 92663-4162
Vincent D Nguyen Hospice/palliative Care Prohealth Partners, A Medical Group 1 Hoag Dr, Newport Beach, CA 92663-4162
Tommy J Lee Hospitalist Pacific Hospitalist Associates 1 Hoag Dr, Newport Beach, CA 92663-4162
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Physicians in the same zip code

Name Specialty Organization Address
Alan Freedman Urology 401 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-0000
Sharon J Lucas Clinical Social Worker 34 Seabird Ct, Newport Beach, CA 92663-2109
Monica J Lucas Physical Therapy 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700
Bonnie Michelle Austin Physical Therapy Superior Wound Care and Physical Therapy Inc 1441 Superior Ave, Suite D, Newport Beach, CA 92663-2700
Jean O Galloway Physical Therapy Superior Rehabilitation Center, Inc 1441 Superior Ave, Newport Beach, CA 92663-2700
Michael W Summerlin Psychologist, Clinical 1441 Superior Ave, Suite F, Newport Beach, CA 92663-2704
Michael John Thorpe Physical Therapy Pegasus Physical Therapy Solutions, Inc. 1419 Superior Ave, Suite 4, Newport Beach, CA 92663-2723
Rafael A Penunuri Family Medicine 1419 Superior Ave, Suite 1, Newport Beach, CA 92663-2723
Jill G Byers General Surgery 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2740
Robert I Hewlett Pulmonary Disease Newport Pulmonary Associates 320 Superior Ave, Suite 200, Newport Beach, CA 92663-2741
Find all physicians in zip 92663

Competitor

Search similar physicians

City NEWPORT BEACH
Zip Code 92663
Specialty PHYSICIAN ASSISTANT
City + Specialty NEWPORT BEACH + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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