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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: August 16, 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
Phone(562) 531-0377
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
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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.

DAVID L. VANNIX MD
Surgery
3300 E SOUTH ST, SUITE #203
LAKEWOOD, CA 90805
Los Angeles County (562) 630-8821
JACOB REKEM MD INC
Anesthesiology
3300 E SOUTH ST, STE 107
LAKEWOOD, CA 90805
Los Angeles County (562) 531-2020
LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
Clinic/Center (Ambulatory Surgical)
3300 E SOUTH ST, SUITE 107
LONG BEACH, CA 90805
Los Angeles County (562) 531-2020
DR. RICHARD ARTHUR ROSENBERG DPM
Podiatrist
3300 E SOUTH ST, SUITE #306
LAKEWOOD, CA 90805
Los Angeles County (562) 633-5881
MRS. EMMA L CLAY M.D.
Ophthalmology
3300 E SOUTH ST, 105
LAKEWOOD, CA 90805
Los Angeles County (562) 531-2020
SULTANALI ALIDINA M.D.
Internal Medicine (Hematology & Oncology)
3300 E SOUTH ST, SUITE 209
LAKEWOOD, CA 90805
Los Angeles County (562) 630-3434
STUMP AND AHMADPOUR
Internal Medicine (Interventional Cardiology)
3300 E SOUTH ST, SUITE 303
LAKEWOOD, CA 90805
Los Angeles County (562) 925-8407
ROHUN MEDICAL CORPORATION
Specialist
3300 E SOUTH ST, SUITE 206
LAKEWOOD, CA 90805
Los Angeles County (562) 232-2378

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.