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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE J LICUANAN MD A MEDICAL CORPORATION

Active Organization

JESSE J LICUANAN MD A MEDICAL CORPORATION is a Internal Medicine organization located in LAKEWOOD, California. NPI 1114218559 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LAKEWOOD, CA

Registration Details

NPI Number
1114218559
Provider Type
Organization
NPI Issued
Apr 19, 2011 (15.140102901795 yrs)
Last Updated
Apr 19, 2011

Practice Information

Address
3300 E SOUTH ST
SUITE 205
LAKEWOOD, CA, 908054549
Browse CA providers · Browse ZIP 90805
Phone
5625310377
Fax
5625311724
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.