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

Jesus Lomibao Licuanan, MD

Individual provider Specialist · NPI 1306897780

Jesus Lomibao Licuanan, MD is a Specialist in Buena Park, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6131 Orangethorpe Ave Ste 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

Record details

NPI number1306897780
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 13, 2026

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