Search › California › 363LF0000X
Jacqueline Licauco, NP
NPI 1467857284 · on the registry since 2014 · sole proprietor
Practice
- Address
- 191 S Buena Vista
Suite 100
Burbank, CA 91505 - Phone
- (818) 869-7600
- Fax
- (814) 433-3691
- Organisation at this address
- Thomas Grosch, Md, Apc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 811 N Doan Dr, Burbank, CA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California