IndividualActive
Ivana Licon
NPI 1659041044 · Other Technician · San Diego, CA
Ivana Licon is a Other Technician provider in San Diego, CA (NPI 1659041044).
Provider details
- NPI number
- 1659041044
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 W Broadway Ste 800
San Diego, CA 92101-3546
Phone: (855) 832-6727
Street-level locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2021-09-16
- Last updated
- 2021-09-16
- Certified
- 2021-09-16
Frequently asked questions
- What is Ivana Licon's NPI number?
- Ivana Licon's National Provider Identifier (NPI) is 1659041044, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivana Licon's specialty?
- Ivana Licon is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Ivana Licon located?
- Ivana Licon's practice location on file with NPPES is 501 W Broadway Ste 800, San Diego, CA 92101-3546.
- What is Ivana Licon's phone number?
- The practice phone number listed in the NPPES registry for Ivana Licon is (855) 832-6727.
- Is Ivana Licon's NPI active?
- Yes — Ivana Licon's NPI (1659041044) is active in the NPPES registry as of the last update on 2021-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.