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Organization
BRIAN J. LEBERTHON, MD., A MEDICAL
Active
Organization
BRIAN J. LEBERTHON, MD., A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOHN LEBERTHON M.D. (M.D. , PRESIDENT OF CORP.)
(626) 338-9560
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE, SUITE 207, WEST COVINA, CA 91790-3937
(626) 338-9560
(626) 338-9360
Mailing address
1135 S SUNSET AVE, SUITE 207, WEST COVINA, CA 91790-3937
(626) 338-9560
(626) 338-9360
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G79934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G799340
—
CA
Enumeration date
05/09/2007
Last updated
12/13/2010
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