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Citrus Valley Gastroenterology

Citrus Valley Gastroenterology is a gastroenterology-focused healthcare website targeting patients in Covina and Glendora.When we began working on the project, the website struggled with multiple technical issues, duplicate on-page elements, and poor local keyword rankings. Our primary objective was to fix these technical errors, improve overall site performance, enhance local visibility, and build a foundation for sustainable organic growth.

Over 2.5 months, we focused on improving site health, fixing technical SEO issues, optimising content and setting a strong foundation for local keyword rankings. As a result we improved website performance from a Page Speed Score 81 to 94, implemented critical SEO elements like schema, sitemap, and robot.xt and enhanced the website's search presence, resulting in 2.89 clicks and 96.6k impressions in Goggle Search Console, with an average CTR of 3% and average ranking position of 27.8. In terms of user behaviour, the website received 4.6k new users with 3.4k coming from organic search alone, and an average engagement time of 2 minute 5 seconds per session.

HTML 5CSS 3JSphpLaravel
  https://cvgastro.com/
Cv gastro logo

Initial Challenges

The website experienced several issues affecting its online visibility:

  1. Duplicate MetadataMany pages had same titles and meta descriptions, limiting search relevance and click-through potential.
  2. Technical ErrorsBroken internal images, missing canonical tags, and incorrect home page URL structure were creating indexing issues in Google Search Console.
  3. Content WeaknessesPages like testimonials, location, and FAQs had minimal or duplicate content, while certain service pages lacked keyword-focused optimization.
  4. No Structured DataThere was no schema implementation for the organization, physicians, or local business details, which impacted rich snippet visibility.
  5. Local SEO GapsThe website lacked strong signals for local search, such as updated business listings, high-quality profiles, and location-focused content.
  6. Crawlability IssuesThe sitemap and robots.txt were outdated, and many URLs were either not indexed or incorrectly redirected.

These factors collectively impacted the website’s ability to rank for local gastroenterology-related keywords and limited its overall search visibility.

SEO Strategy & Implementation

Technical Fixes

To recognize and fix critical issues, we began with a detailed site audit. Key improvements included fixing broken internal image links, minifying JavaScript and CSS file to improve page load speed, and updating the sitemap within the robot.txt to improve crawl efficiency.

The home page URL was changed from "/public" to a clean root domain and a canonical tag was added to ensure proper indexing.

Google Search Console Errors like "Pages with Redirect", "Crawled currently not Indexed", and "Alternate Page with proper Canonical Tag " were reviewed and resolved.

On-Page Optimization

We replaced all duplicate titles and meta descriptions with unique, keyword-optimized content across key pages. The updated titles and descriptions are now concise, informative and better aligned with what users are actually searching for.

We also improved content on underperforming pages— such as testimonials, FAQs and location pages and added new optimised sections targeting high-volume local keywords.

To strengthen relevance and boost engagement we introduced additional FAQs that directly address common user questions.

Schema Implementation

To strengthen search engine understanding and improve rich result eligibility, we implemented multiple schema markups:

  • Organization and Local Business Schema: Added to the home page and location pages to boost local search relevance.
  • FAQ Schema: Implemented on the FAQ page to enable rich results and enhance CTR.
  • Review Schema: Added to testimonial pages to improve trust signals in search results.
  • Physician Schema: Implemented for each doctor profile page, ensuring detailed information about physicians was structured for search engines.

Local SEO & Off-Page Activities

We focused on local SEO by creating and updating authoritative business listings, profiles and niche directory submissions to strengthen the website's local presence.

Our Off-page efforts included high-quality link-building strategies such as guest posting, Web 2.O creation, profile creation, classified, Reddit/Quora, forum, infographics and PDF submissions and promoting location-specific content, all aimed at increasing domain authority and improving relevance in local search results.

Content Expansion

We created and published location-specific content to target search queries for Covina and Glendora.

Additionally a new optimised section was added to the website to focus on high-volume keywords, expanding the site's content and helping capture long-tail local searches more effectively.

Results Achieved

Performance Improvements

  • Page Speed: Improved from 81 to 94, significantly reducing load times and improving user experience.
  • Search Console Metrics: In just 2.5 months, the site received 2.89K clicks and 96.6K impressions, with an average CTR of 3% and an average position of 27.8—a noticeable improvement considering the website initially had minimal visibility for local keywords.
  • User Engagement (Analytics): User Engagement (Analytics): The site welcomed 4.6K new users, with 3.4K coming from organic search alone. Visitors spent an average of 2 minutes 5 seconds on the website, indicating increased engagement and improved content relevance

BEFORE

Performance Improvements Before

AFTER

Performance Improvements After

Keyword Ranking Achievements

As part of our SEO strategy, Citrus Valley Gastroenterology achieved significant improvements in keyword visibility, with multiple high-intent keywords now ranking in Position #1 and even capturing featured snippets in Google search.

Highlights:

  • 15+ keywords reached the first page of Google, including competitive local terms such as “citrus valley gastroenterology” and “gastroenterologist near Covina”.
  • Several branded and physician-related keywords (e.g., “Dr. Patrick Troung”, “Dr. Sidhom”) now rank at Position #1.
  • The site also secured featured snippets for local, service-based keywords, improving click-through rates and visibility above all organic results.
Keyword Ranking Achievements
Keyword Ranking Achievements

Domain & Page Authority

We implemented structured data to make the website eligible for rich snippets, helping it stand out in search results. Indexing errors were resolved and sitemap was submitted to ensure that search engines picked up all content updates and structural changes swiftly.

BEFORE

Domain & Page Authority Before

AFTER

Domain & Page Authority After

Key Takeaways

  • Technical SEO improvements had an immediate impact on crawlability and indexing, establishing a solid foundation for future ranking and growth
  • Unique and optimised meta content improved search appearance and CTR, helping pages stand out in SERPs.
  • Schema implementation improved search engine understanding and increased the likelihood of rich snippets and advanced search listings.
  • Local SEO strategies created strong signals for location-based queries, crucial for patient acquisition in the healthcare sector.
  • Content optimization and expansion improved user engagement and search engine visibility simultaneously.

Next Steps

  • Enhanced Local SEO: Develop additional content and service area pages targeting high-volume local keywords for Covina and Glendora.
  • Authority Building: Continuously build high-quality backlinks from trusted healthcare and local resources to strengthen domain authority.
  • Performance Monitoring: Monitor ranking improvements for key local search terms and adjust the strategy based on observed performance trends and results.
  • Structured Data Expansion: Implement and expand structured data (e.g., FAQ schema for services and article schema for blogs) to capture more rich results and improve CTR.

Other Statistics

SEMrush Insights:

BEFORE

SEMrush Insights Before

AFTER

SEMrush Insights After

Google Search Console Insights:

BEFORE

Google Search Console Insights before

AFTER

Google Search Console Insights After

Google Analytics :

Google Analytics
Google Analytics

Outcome:

In just 2.5 months, Citrus Valley Gastroenterology made a remarkable turnaround in its online visibility and patient reach. By resolving technical SEO issues, optimising content, and building strong local signals, the practice quickly improved site performance and keyword rankings.

The results speak for themselves—site speed jumped from 81 to 94, impressions soared past 96K, and thousands of new users arrived through organic search. With multiple branded and service-based keywords now ranking at the top of Google, including featured snippets, the website has built a strong foundation for sustained growth. Today, Citrus Valley Gastroenterology is well-positioned to attract and engage patients in Covina and Glendora who are actively searching for trusted gastroenterology care.