# LIBERTY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851753321
- **Authorized official:** DR. SATISH LAL M.D. (CEO)
- **Authorized official phone:** (909) 944-1806

## Contact information

- **Practice address:** 9227 HAVEN AVENUE, SUITE 375, RANCHO CUCAMONGA, CA 91730
- **Practice address phone:** (909) 944-1806
- **Practice address fax:** (909) 466-6593
- **Mailing address:** 14071 PEYTON DRIVE, \#301, CHINO HILLS, CA 91709
- **Mailing address phone:** (909) 944-1806
- **Mailing address fax:** (909) 466-6593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G76640 | CA | Yes |

## Other

- **Enumeration date:** 03/24/2016
- **Last updated:** 02/19/2018
