Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE JOSEPH LICUANAN, M.D.
Active Sole ProprietorInternal Medicine · LAKEWOOD, CA
Registration Details
- NPI Number
- 1396795514
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2006 (19.94965823242 yrs)
- Last Updated
- Jan 6, 2023
- Licenses
-
A-87633 (CA)A87633 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3650 SOUTH ST STE 403LAKEWOOD, CA, 907121504Browse CA providers · Browse ZIP 90712
- Phone
- 5625310377
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in LAKEWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| DR. PRASAD K. CHODE | MD | 1194720847 |
| DAISY J. GUEVARA | MD | 1396740932 |
| AUGUSTUS K. OHEMENG | MD | 1982603890 |
| DR. MICHAEL FREUND | M.D. | 1447244157 |
| MS. SU HYON YI | M.D. | 1902867476 |
| OLGA R GINZBURG | MD | 1891723482 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.