| Leslie Vanessa Theroith, NP | |
|
790 E Bonita Ave Fl 2, Pomona, CA 91767-1906 | |
| (909) 469-0033 | |
| (909) 620-9146 |
| Full Name | Leslie Vanessa Theroith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 790 E Bonita Ave Fl 2, Pomona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841473097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 16020 (California) | Primary |
| Entity Name | Chaparral Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477733624 PECOS PAC ID: 6800709403 Enrollment ID: O20031110000605 |
| Entity Name | Chaparral Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093777666 PECOS PAC ID: 6800709403 Enrollment ID: O20040331001684 |
| Entity Name | Pinnacle Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Vanessa Theroith, NP 840 Towne Center Dr, Pomona, CA 91767-5900 Ph: (909) 398-1550 | Leslie Vanessa Theroith, NP 790 E Bonita Ave Fl 2, Pomona, CA 91767-1906 Ph: (909) 469-0033 |
Michael Marinello, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 E Bonita Ave, Pomona, CA 91767 Phone: 909-643-2980 | |
Rohan Bassi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767 Phone: 909-623-8796 Fax: 909-623-3076 | |
Patrick Alonzo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-623-2100 | |
Raquel C Rulloda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581 | |
Shellee Reese, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Royalty Dr, Pomona, CA 91767 Phone: 909-865-9901 | |
Ivy Lien Yin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N Garey Ave, Pomona, CA 91767 Phone: 909-622-1235 | |
Lijuan Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 E Holt Ave, Pomona, CA 91767 Phone: 909-629-8088 Fax: 909-629-8755 |