Jesse Licuanan MD has Internal Medicine as his primary medical specialty. Their primary office is: 300 Redondo Ave B in Long Beach, California.
They're a part of the: Prohealth Partners, A Medical Group medical group which has around 232 members. You can call their office at 562-433-7496 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 1999 (around 25 years of experience). They are listed as doing telehealth appointments.
Jesse Licuanan MD
Prohealth Partners, A Medical Group
300 Redondo Ave B
Long Beach, California 90814
562-433-7496
Phone: 562-433-7496
Enter a starting address:
Additional Medical Specialties Include:
GENERAL PRACTICE
Medical School: Sorry, his university is not listed
Graduation Year: 1999
The Primary Medical Specialty for Jesse Licuanan MD is listed as: Internal Medicine
Credentials: MD
Additional Credentials:
Approximate Years of Experience: 25
PAC (PECOS ID)#: 3678547601
NPI #: 1396795514
NPI Created On: 05/10/2006
NPI Last Updated Listed as: 01/06/2023
Primary Taxonomy Code: 174400000X
License Number:
A-87633
Listed Gender: Male
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $22
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 814994351
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: CARDIOVASCULAR
Name of Drug #1: ENTRESTO
Open Associated Drug #1: 0078-0659-20
Payments Total: $22
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 832971275
Being Disputed:: No
Product Related: Yes
Drug or Biological: Biological
Product Category #1: VACCINES
Name of Drug #1: PREVNAR 13
Open Associated Drug #1: 0005-1971-02
Drug or Biological: Biological
Product Category #2: VACCINES
Name Of Drug #2:: PREVNAR 20
Associated Drug #2: 0005-2000-10
Payments Total: $30
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 833410589
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: GASTROINTESTINAL
Name of Drug #1: COLOGUARD DNA CAPTURE REAGENTS
Payments Total: $32
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 833551471
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: GASTROINTESTINAL
Name of Drug #1: COLOGUARD DNA CAPTURE REAGENTS
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Context of payment:: Informational Meal
Record ID:: 829318015
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular and Metabolism
Name of Drug #1: FARXIGA
Open Associated Drug #1: 0310-6205-30
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