Organization · Type 2 NPI

Jesus L. Licuanan, M.d. Inc

Specialist · Buena Park, CA

NPI number 1497913057 Active

Practice location

6131 Orangethorpe Ave, # 215
Buena Park, CA 90620-1315

Fax (714) 521-1003

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA42300 (CA)

Specialist: 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.

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About NPI 1497913057

Jesus L. Licuanan, M.d. Inc's National Provider Identifier is 1497913057, issued on May 29, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Buena Park, CA. The record was last updated on Mar 7, 2023.