Citrus Valley Physician Partners

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CITRUS VALLEY PHYSICIAN PARTNERS

Practice address

1135 S Sunset Ave Ste 200
West Covina, CA 91790-3937

Phone

(626) 918-6655

NPI assigned

Jun 4, 2018

Last updated

Jun 4, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Haddad

Title

Assist. Director of Ambulatory Bus.

Phone

(626) 732-3159

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1245722313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N GRAND AVE STE 300",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244046",
            "telephone_number": "626-732-3159",
            "fax_number": "626-732-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-918-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS VALLEY PHYSICIAN PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ASSIST. DIRECTOR OF AMBULATORY BUS.",
        "authorized_official_telephone_number": "626-732-3159"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citrus Medical Imaging Associates, Inc.
• Citrus Obstetrics &Gynecology Medical Associates Inc
• Citrus Treatment Center
• Citrus Valley Anesthesia Medical Group
• Citrus Valley Physician Partners
• Citrus Valley Radiologists Inc
• City of Hope Medical Foundation (City of Hope West Covina)
• City of West Covina
• Shelley Clabaugh
• Clara Baldwin Healthcare Center LLC

• Specialist in West Covina, CA
• Providers in West Covina, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.