JESSE J LICUANAN MD A MEDICAL CORPORATION
NPI 1114218559
Internal Medicine in Lakewood, CA

Active since April 19, 2011
3300 E SOUTH ST, SUITE 205, LAKEWOOD, CA 90805(562) 531-0377(562) 531-1724 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse J Licuanan Md A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE J LICUANAN MD A MEDICAL CORPORATION (NPI 1114218559) is a healthcare organization registered as an internal medicine in Lakewood, California and active in the NPI registry since April 2011. The organization lists Jesse J. Licuanan, President/owner, as its authorized official.

NPPES Registry Identity

NPI1114218559
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJESSE J LICUANAN MD A MEDICAL CORPORATION
Location Address3300 E SOUTH ST, SUITE 205Lakewood, CA 90805-4549
Mailing Address8251 La Palma Ave, Suite 434Buena Park, CA 90620-3205 · (562) 531-0377 · Fax (562) 531-1724
Fax(562) 531-1724
Organization SubpartNo
Authorized OfficialJesse J. LicuananPresident/owner · (562) 531-0377
Enumeration DateApril 19, 2011
NPI 1114218559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3300 E SOUTH ST, Lakewood, CA 90805

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
3300 E SOUTH ST, SUITE #203
LAKEWOOD, CA 90805
Anesthesiology
3300 E SOUTH ST, STE 107
LAKEWOOD, CA 90805
Clinic/Center (Ambulatory Surgical)
3300 E SOUTH ST, SUITE 107
LONG BEACH, CA 90805
Podiatrist
3300 E SOUTH ST, SUITE #306
LAKEWOOD, CA 90805
Ophthalmology
3300 E SOUTH ST, 105
LAKEWOOD, CA 90805
Internal Medicine (Hematology & Oncology)
3300 E SOUTH ST, SUITE 209
LAKEWOOD, CA 90805
Internal Medicine (Interventional Cardiology)
3300 E SOUTH ST, SUITE 303
LAKEWOOD, CA 90805
Specialist
3300 E SOUTH ST, SUITE 206
LAKEWOOD, CA 90805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse J Licuanan MD A Medical Corporation's NPI number?

The NPI number for Jesse J Licuanan MD A Medical Corporation is 1114218559. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Jesse J Licuanan MD A Medical Corporation located?

Jesse J Licuanan MD A Medical Corporation is located at 3300 E South St Suite 205, Lakewood, CA 90805. The listed phone number is (562) 531-0377.

What is Jesse J Licuanan MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Jesse J Licuanan MD A Medical Corporation was last updated on April 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.