JESUS L. LICUANAN, M.D. INC is a specialist in Buena Park, CA. The provider is 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. JESUS L. LICUANAN, M.D. INC NPI is 1497913057. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
6131 ORANGETHORPE AVE
# 215
BUENA PARK, CA
ZIP 90620-315
Phone: (714) 521-1700
Fax: (714) 521-1003
The provider's authorized official is Jesus L Licuanan .
The authorized official title is President/owner and has the following contact phone number (714) 521-1700.
The enumeration date for this NPI number is 5/29/2008 and was last updated on 3/7/2023.