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Jesse Joseph Licuanan, MD
Internal Medicine Physician in Lakewood, California
NPI 1396795514

Jesse Joseph Licuanan is a Internal Medicine Physician based in Lakewood, CA. Jesse Joseph Licuanan practices in Lakewood, CA and has the professional credentials of MD. The NPI Number for Jesse Joseph Licuanan is 1396795514 and holds a License No. A-87633 (California).

The current practice location address for Jesse Joseph Licuanan is 3650 South St Ste 403, Lakewood, CA and can be reached out via phone at 562-531-0377.

Location: 3650 South St Ste 403, Lakewood, CA, 90712-1504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396795514
Provider Name
Jesse Joseph Licuanan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3650 South St Ste 403, Lakewood, CA, 90712-1504
Phone Number
562-531-0377
Fax Number
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3650 South St Ste 403
City
Lakewood
State
California
Zip
90712-1504
Phone Number
562-531-0377
Fax Number
person
Provider Business Mailing Address Details
Address
3650 South St Ste 403
City
Lakewood
State
California
Zip
90712-1504
Phone Number
562-531-0377
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A87633 (California)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
A-87633 (California)
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.
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