Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesus L. Licuanan, MD Inc

Organization Specialist · NPI 1497913057

Jesus L. Licuanan, MD Inc is a Specialist in Buena Park, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6131 Orangethorpe Ave # 215
Buena Park, CA 90620-1315
Phone: (714) 521-1700
Fax: (714) 521-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A42300 (CA)

Record details

NPI number1497913057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesus Licuanan — President/Owner · (714) 521-1700
NPI enumeratedMay 29, 2008
Last updated in NPPESMarch 7, 2023
Mailing address6131 Orangethorpe Ave, 215, Buena Park, CA 90620-1315

Other providers in Buena Park