Jesus Lomibao Licuanan in Buena Park - Specialist
Jesus Lomibao Licuanan - NPI 1306897780
Jesus Lomibao Licuanan is a Specialist in Buena Park, California. Jesus Lomibao Licuanan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jesus Lomibao Licuanan is 1306897780. The last update date is 2007-07-08.
Jesus Lomibao Licuanan's current location address is 6131 Orangethorpe Ave, Buena Park, California. You can contact this provider via phone number 7145211700 and fax number 7145211003. The mailing address for Jesus Lomibao Licuanan is 6131 Orangethorpe Ave, Buena Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesus Lomibao Licuanan |
|---|---|
| Address | 6131 Orangethorpe Ave, Buena Park, California |
| Phone Number | 7145211700 |
| Fax Number | 7145211003 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306897780 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6131 Orangethorpe Ave |
|---|---|
| City | Buena Park |
| State | California (CA) |
| Post Code | 906201315 |
| Phone Number | 7145211700 |
| Fax Number | 7145211003 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A423000 | CA | -- |
Post Comment/ Review Below
What is the Jesus Lomibao Licuanan's unique identification number?
The Jesus Lomibao Licuanan has been assigned the NPI (National Provider Identifier) Number 1306897780 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jesus Lomibao Licuanan?
The Jesus Lomibao Licuanan is physically situated at 6131 Orangethorpe Ave, in the city of Buena Park, state of CA, with the postal code 906201315.
What is Jesus Lomibao Licuanan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jesus Lomibao Licuanan's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Jesus Lomibao Licuanan's 1306897780 issued?
The Jesus Lomibao Licuanan's 1306897780 was issued on 2006-05-12.
As of what date was the information pertaining to Jesus Lomibao Licuanan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jesus Lomibao Licuanan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.