Doctor profile · Federal record
Dr. Lita Hermansjah, DDS
Dentist · Corona, CA
- NPI 1740367440
- 20 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
916 West Sixth Street
Corona, CA 928823239
(951) 738-1749
fax (951) 738-1760 - Mailing address
-
Po Box 2769
Corona, CA 928782769
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- April 19, 2016
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #47904
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740367440. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$44
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 1 | $44.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$19
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 11 | 0 | $19 |
Frequently asked questions
What is Dr. Lita Hermansjah's medical specialty?
Dr. Lita Hermansjah practices Dentist in Corona, CA.
Where does Dr. Lita Hermansjah practice?
Dr. Lita Hermansjah practices at 916 West Sixth Street, Corona, CA 928823239. Office phone: 9517381749.
What is Dr. Lita Hermansjah's NPI?
Dr. Lita Hermansjah's National Provider Identifier (NPI) is 1740367440, issued by NPPES.