Jesse J Licuanan Md A Medical Corporation - Primary Care in Lakewood, CA

Jesse J Licuanan Md A Medical Corporation is a primary clinic (Internal Medicine) in Lakewood, California. The current practice location for Jesse J Licuanan Md A Medical Corporation is 3300 E South St, Suite 205, Lakewood, California. For appointments, you can reach them via phone at (562) 531-0377. The mailing address for Jesse J Licuanan Md A Medical Corporation is 8251 La Palma Ave, Suite 434, Buena Park, California and phone number is (562) 531-0377.

Jesse J Licuanan Md A Medical Corporation is licensed to practice in * (Not Available) (license number ) and its NPI number is 1114218559. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (562) 531-0377.

Contact Information

Jesse J Licuanan Md A Medical Corporation
3300 E South St
Suite 205
Lakewood
CA 90805-4549
(562) 531-0377
(562) 531-1724

Primary Care Clinic Profile

Full NameJesse J Licuanan Md A Medical Corporation
SpecialityInternal Medicine
Location3300 E South St, Lakewood, California
Authorized Official Name and PositionJesse J. Licuanan (PRESIDENT/OWNER)
Authorized Official Contact5625310377
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jesse J Licuanan Md A Medical Corporation
8251 La Palma Ave
Suite 434
Buena Park
CA 90620-3205

Ph: (562) 531-0377
Jesse J Licuanan Md A Medical Corporation
3300 E South St
Suite 205
Lakewood
CA 90805-4549

Ph: (562) 531-0377

NPI Details:

NPI Number1114218559
Provider Enumeration Date04/19/2011
Last Update Date04/19/2011

Medical Identifiers

Medical identifiers for Jesse J Licuanan Md A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114218559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

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› Verified 3 days ago


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