# LA LIBERTAD MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LA LIBERTAD MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245655240
- **Legal business name:** LA LIBERTAD MEDICAL CLINIC
- **Authorized official:** DR. RICARDO E CHAMBI MD (DIRECTOR)
- **Authorized official phone:** (323) 277-9455

## Contact information

- **Practice address:** 7900 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-6662
- **Practice address phone:** (323) 277-9455
- **Practice address fax:** (323) 277-9450
- **Mailing address:** PO BOX 3429, HUNTINGTON PARK, CA 90255-2329
- **Mailing address phone:** (323) 277-9455
- **Mailing address fax:** (323) 277-9450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | CA | Yes |

## Other

- **Enumeration date:** 02/27/2014
- **Last updated:** 02/27/2014