# LIBERTY MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427227107
- **Authorized official:** NATNAEL TASSEW (GENERAL PARTNER)
- **Authorized official phone:** (714) 940-9950

## Contact information

- **Practice address:** 2050 W CHAPMAN AVE, SUITE 181, ORANGE, CA 92868-2647
- **Practice address phone:** (714) 940-9950
- **Practice address fax:** (714) 940-0176
- **Mailing address:** 2050 W CHAPMAN AVE, SUITE 181, ORANGE, CA 92868-2647
- **Mailing address phone:** (714) 940-9950
- **Mailing address fax:** (714) 940-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 48297 | CA | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 03/05/2009