JESSE LICUANAN, M.D.

Internal Medicine

Active Individual
NPI: 1396795514

Practice Address

3650 SOUTH ST STE 403
Lakewood, CA 90712

Phone: (562) 531-0377

Specialties

Specialty Code Primary License
Specialist 174400000X No A-87633 (CA)
Internal Medicine 207R00000X Yes A87633 (CA)

Frequently Asked Questions

NPI 1396795514 is the National Provider Identifier for JESSE LICUANAN, M.D., a Internal Medicine provider located in Lakewood, CA. This NPI was enumerated on May 10, 2006.
JESSE LICUANAN, M.D. practices at 3650 SOUTH ST STE 403, Lakewood, CA 90712.

Quick Facts

NPI
1396795514
Type
Individual
Enumerated
May 10, 2006
Last Updated
Jan 6, 2023

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