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JESUS L. LICUANAN, M.D. INC
NPI 1497913057
Specialist in Buena Park, CA

Active since May 29, 2008
6131 ORANGETHORPE AVE, # 215, BUENA PARK, CA 90620(714) 521-1700(714) 521-1003 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesus L. Licuanan, M.d. Inc NPPES

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

JESUS L. LICUANAN, M.D. INC (NPI 1497913057) is a healthcare organization registered as a specialist in Buena Park, California and active in the NPI registry since May 2008. The organization lists Jesus L Licuanan, President/owner, as its authorized official.

NPPES Registry Identity

NPI1497913057
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJESUS L. LICUANAN, M.D. INC
Location Address6131 ORANGETHORPE AVE, # 215Buena Park, CA 90620-1315
Mailing Address6131 Orangethorpe Ave, # 215Buena Park, CA 90620-1315 · (714) 521-1700 · Fax (714) 521-1003
Phone(714) 521-1700
Fax(714) 521-1003
Organization SubpartNo
Authorized OfficialJesus L LicuananPresident/owner · (714) 521-1700
Enumeration DateMay 29, 2008
Last NPPES UpdateMarch 7, 2023
✔ NPI 1497913057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A42300
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6131 ORANGETHORPE AVE, Buena Park, CA 90620
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Other Identifiers 3

OtherAQ154CA · P-tan
Other00A423000CA · Blue Shield Of California
MedicaidA42300CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

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

APPLECARE MEDICAL GROUP
Internal Medicine
6131 ORANGETHORPE AVE, SUITE 280
BUENA PARK, CA 90620
Orange County (714) 443-4512
UNITED MEDICAL IMAGING HEALTHCARE, INC.
Clinic/Center (Radiology)
6131 ORANGETHORPE AVE, SUITE # 130
BUENA PARK, CA 90620
Orange County (714) 522-2077
ARMANDO FUENTE2 LLC
Durable Medical Equipment & Medical Supplies
6131 ORANGETHORPE AVE
BUENA PARK, CA 90620
Orange County (888) 284-4224
SEQUOIA PHYSICAL THERAPY, INC
Clinic/Center (Physical Therapy)
6131 ORANGETHORPE AVE, SUITE 135
BUENA PARK, CA 90620
Orange County (714) 523-3822
FUNCTIONAL RESTORATION MEDICAL CENTER, INC,
Clinic/Center (Radiology)
6131 ORANGETHORPE AVE, SUITE 130
BUENA PARK, CA 90620
Orange County (714) 522-2077
JESUS LOMIBAO LICUANAN M.D.
Specialist
6131 ORANGETHORPE AVE, SUITE 215
BUENA PARK, CA 90620
Orange County (714) 521-1700
MINH H. PHAM D.P.T.
Physical Therapist
6131 ORANGETHORPE AVE
BUENA PARK, CA 90620
Orange County (714) 523-3822
APPLECARE MEDICAL GROUP ST. FRANCIS,INC.
Health Maintenance Organization
6131 ORANGETHORPE AVE, #280
BUENA PARK, CA 90620
Orange County (714) 443-4506

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 Jesus L. Licuanan, M.D. Inc's NPI number?

The NPI number for Jesus L. Licuanan, M.D. Inc is 1497913057. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Jesus L. Licuanan, M.D. Inc located?

Jesus L. Licuanan, M.D. Inc is located at 6131 Orangethorpe Ave # 215, Buena Park, CA 90620. The listed phone number is (714) 521-1700.

What is Jesus L. Licuanan, M.D. Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jesus L. Licuanan, M.D. Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.