JESSE J LICUANAN MD A MEDICAL CORPORATION
NPI 1114218559
Internal Medicine in Lakewood, CA

NPI Status: Active since April 19, 2011

Contact Information

3300 E SOUTH ST
SUITE 205
LAKEWOOD, CA
ZIP 90805
Phone: (562) 531-0377
Fax: (562) 531-1724

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  • Organization
  • Internal Medicine

About JESSE J LICUANAN MD A MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Jesse J Licuanan Md A Medical Corporation, an internist established in Lakewood, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1114218559 assigned on April 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Jesse J Licuanan Md A Medical Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jesse J. Licuanan Md (President/owner)

NPI
1114218559
Provider Name
JESSE J LICUANAN MD A MEDICAL CORPORATION
Entity Type
Organization
Location Address
3300 E SOUTH ST SUITE 205 LAKEWOOD, CA 90805
Location Phone
(562) 531-0377
Location Fax
(562) 531-1724
Mailing Address
8251 LA PALMA AVE SUITE 434 BUENA PARK, CA 90620
Mailing Phone
(562) 531-0377
Mailing Fax
(562) 531-1724
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2011
Last Update Date
04-19-2011
Code Navigator

An internist like Jesse J Licuanan Md A Medical Corporation is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSE J. LICUANAN MD

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(562) 531-0377

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114218559
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21244116510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 1 + 1 + 6 + 5 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1114218559 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164406021LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
Organization
Specialist3300 E SOUTH ST SUITE 105
LONG BEACH, CA 90805
(562) 531-2020
1265499719DR. ALEX HSU MD
Individual
Internal Medicine (Nephrology)3300 E SOUTH ST
LAKEWOOD, CA 90805
(562) 630-7279
1376593657DR. GNYANDEV PATEL M.D.
Individual
Specialist3300 E SOUTH ST SUITE # 206
LAKEWOOD, CA 90805
(562) 232-2378
1255357315MOTI S DASWANI MD INC
Organization
Internal Medicine (Nephrology)3300 E SOUTH ST 110
LONG BEACH, CA 90805
(562) 630-7279
1821014879 TAE Y LEE MD
Individual
Internal Medicine (Nephrology)3300 E SOUTH ST # 110
LONG BEACH, CA 90805
(562) 630-7279
1053327239DR. RICHARD ARTHUR ROSENBERG DPM
Individual
Podiatrist3300 E SOUTH ST SUITE #306
LAKEWOOD, CA 90805
(562) 633-5881
1679677967DR. ALEX KUTAS MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)3300 E SOUTH ST SUITE 103
LONG BEACH, CA 90805
(562) 634-9803
1598861882 ADARSH DASWANI M.D.
Individual
Internal Medicine (Nephrology)3300 E SOUTH ST SUITE 110
LAKEWOOD, CA 90805
(562) 630-7279
1013084979 DAVID L. VANNIX MD
Individual
Surgery3300 E SOUTH ST SUITE #203
LAKEWOOD, CA 90805
(562) 630-8821
1518015916 KIT H LEE MD
Individual
Pediatrics3300 E SOUTH ST 204
LAKEWOOD, CA 90805
(562) 602-1733
1447454814 PEDRO OLMEDOCOLOR PA-C
Individual
Physician Assistant3300 E SOUTH ST SUITE 305
LAKEWOOD, CA 90805
(562) 622-8102
1295934610SULTANALI ALIDINA M.D., INC.
Organization
Internal Medicine (Hematology & Oncology)3300 E SOUTH ST SUITE 209
LAKEWOOD, CA 90805
(562) 630-3434
1912183054SEHGAL MEDICAL CORPORATION
Organization
Internal Medicine (Pulmonary Disease)3300 E SOUTH ST SUITE 305
LAKEWOOD, CA 90805
(562) 817-5602
1043473390LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
Organization
Clinic/Center (Ambulatory Surgical)3300 E SOUTH ST SUITE 107
LONG BEACH, CA 90805
(562) 531-2020
1689978140MRS. AMY ELIZABETH POUND LCSW
Individual
Social Worker (Clinical)3300 E SOUTH ST
LAKEWOOD, CA 90805
(562) 232-1144
1306115332MS. THERESA ADELE SMITH N.P.
Individual
Nurse Practitioner (Psychiatric/Mental Health)3300 E SOUTH ST SUITE #: 102
LAKEWOOD, CA 90805
(562) 232-1144
1154693307ROHUN MEDICAL CORPORATION
Organization
Specialist3300 E SOUTH ST SUITE 206
LAKEWOOD, CA 90805
(562) 232-2378
1063411684 SULTANALI ALIDINA M.D.
Individual
Internal Medicine (Hematology & Oncology)3300 E SOUTH ST SUITE 209
LAKEWOOD, CA 90805
(562) 630-3434
1407165079DR. RONALD CASTILLO TEJADA JR. MD
Individual
Internal Medicine3300 E SOUTH ST SUITE 205
LAKEWOOD, CA 90805
(562) 531-0377
1235310723NEHA MEDICAL CORPORATION INC.
Organization
Specialist3300 E SOUTH ST 206
LAKEWOOD, CA 90805
(562) 232-2378

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114218559, enumerated in the NPI registry as an "organization" on April 19, 2011

The provider is located at 3300 E South St Suite 205 Lakewood, Ca 90805 and the phone number is (562) 531-0377

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on April 19, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.