# LA LIBERTAD MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RICARDO E CHAMBI MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295887024
- **Authorized official:** DR. RICARDO E CHAMBI MD (PRESIDENT)
- **Authorized official phone:** (323) 585-1056

## Contact information

- **Practice address:** 8225 LONG BEACH BLVD, SUITE C, SOUTH GATE, CA 90280-2010
- **Practice address phone:** (323) 585-1056
- **Mailing address:** PO BOX 3429, HUNTINGTON PARK, CA 90255-2329
- **Mailing address phone:** (323) 585-1056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A45384 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 09/24/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A453841 | — | CA |
| 05 | — | GR0101040 | — | CA |