Individual
DR. BRIAN J LEBERTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
05
—
1821202060
—
CA
Enumeration date
12/07/2005
Last updated
12/14/2016
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