Jesus Lomibao Licuanan, M.D.
NPI #1306897780 in Buena Park, California
Provider Information
- NPI Number
- 1306897780
- Entity Type
- Individual
- Name
- Jesus Lomibao Licuanan, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- May 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6131 ORANGETHORPE AVE
- Address 2
- SUITE 215
- City
- Buena Park
- State
- California
- ZIP Code
- 90620-1315
- Phone
- (714) 521-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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