JESSE J LICUANAN MD A MEDICAL CORPORATION

LAKEWOOD, CA
NPI1114218559
Entity TypeOrganization
Authorized ContactJESSE J. LICUANAN
President/Owner
562-531-0377
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2011-04-19
Last Update Date2011-04-19
Business Address
JESSE J LICUANAN MD A MEDICAL CORPORATION
3300 E SOUTH ST SUITE 205
LAKEWOOD, CA 90805-4549
Phone number: 562-531-0377
Mailing Address
JESSE J LICUANAN MD A MEDICAL CORPORATION
8251 LA PALMA AVE SUITE 434
BUENA PARK, CA 90620-3205
Phone number: 562-531-0377
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