CITRUS TREATMENT CENTER (NPI# 1770906117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770906117 |
| Entity Type | Organization |
| Organization Name | CITRUS TREATMENT CENTER |
| Practice Address |
1135 S Sunset Ave Suite # 207 West Covina CA 91790-3937 |
| Practice Telephone | 6263732333 |
| Practice Fax Number | 6265494603 |
| Mailing Telephone | 6263732333 |
| Mailing Fax Number | 6265494603 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2016-07-08 |
| Authorized Official Name | BRIAN LEBERTHON (PRESIDENT) |
| Authorized Official Telephone | 6263732333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0200X |
Clinic/Center Specialization: Oncology |
G79934 | CA | Ambulatory Health Care Facilities |
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITRUS TREATMENT CENTER | 1135 S Sunset Ave, #207, West Covina, CA 91790-3908 |
| Street Address |
1135 S SUNSET AVE SUITE # 207 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023979 | Brian J Leberthon | Internal Medicine | 1135 S Sunset Ave, Suite # 207, West Covina, CA 91790-3937 | 2005-12-07 |
| 1881142438 | Suwen Pan | Nurse Practitioner | 1135 S Sunset Ave, West Covina, CA 91790-3937 | 2016-09-13 |
| 1013329721 | Debra Tasic | Genetic Counselor, MS | 1135 S Sunset Ave, Suite 402, West Covina, CA 91790-3937 | 2014-05-29 |
| 1386073096 | Joseph L Lin Md Inc | Ophthalmology | 1135 S Sunset Ave, Suite 210, West Covina, CA 91790-3937 | 2013-11-03 |
| 1568707750 | Brian Leberthon | Clinic/Center | 1135 S Sunset Ave, 207, West Covina, CA 91790-3937 | 2012-11-29 |
| 1659623379 | Lindsay Arellano | Physician Assistant | 1135 S Sunset Ave, Suite # 405, West Covina, CA 91790-3937 | 2012-10-04 |
| 1164778759 | Bill W. Tang, Md A Med Corp | Clinic/Center | 1135 S Sunset Ave, #206, West Covina, CA 91790-3937 | 2012-08-01 |
| 1417255498 | Robert Arnold Abrams D P M A Podiatry Corporation | Podiatrist | 1135 S Sunset Ave, Suite 107, West Covina, CA 91790-3937 | 2011-03-01 |
| 1194025858 | Pacific Sleep Medicine, A Medical Corp | Clinic/Center | 1135 S Sunset Ave, Suite 307, West Covina, CA 91790-3937 | 2010-10-28 |
| 1740516236 | Lakeside Medical Assoicates, A Medical Group, Inc. | Radiology | 1135 S Sunset Ave, Suite 100, West Covina, CA 91790-3937 | 2009-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707189 | California Infusion Therapy Inc | Clinic/Center | 7407 N Cedar Ave Ste 104, Fresno, CA 93720-3839 | 2020-10-10 |
| 1104433358 | Hot Clinic Inc. | Clinic/Center | 16550 Ventura Blvd Ste 314, Encino, CA 91436-2004 | 2020-09-30 |
| 1760005250 | Alcheme Health | Clinic/Center | 2308 Kettner Blvd, San Diego, CA 92101-1283 | 2020-05-19 |
| 1275168486 | Southern California Infusion Therapy, Inc. | Clinic/Center | 301 S Fair Oaks Ave Ste 301, Pasadena, CA 91105-2562 | 2020-03-09 |
| 1063045482 | Satori Center for Wellbeing | Clinic/Center | 69730 Highway 111 Ste 113, Rancho Mirage, CA 92270-2873 | 2020-02-13 |
| 1811537756 | Sherman Infusion Services Inc | Clinic/Center | 1510 S Central Ave Ste 640, Glendale, CA 91204-2552 | 2020-01-08 |
| 1104476480 | Kic 2 | Clinic/Center | 6313 Schirra Ct Ste A1, Bakersfield, CA 93313-2191 | 2019-09-18 |
| 1962050096 | Harpers Pharmacy Inc | Clinic/Center | 132 S Anita Dr Ste A, Orange, CA 92868-3317 | 2019-09-02 |
| 1376199158 | Stem Cell Therapeutics La LLC | Clinic/Center | 435 Arden Ave Ste 420, Glendale, CA 91203-4021 | 2019-08-16 |
| 1033779947 | Total Infusion, Inc. | Clinic/Center | 6955 Foothill Blvd # 67a, Oakland, CA 94605-2455 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.