Organization
LA LIBERTAD MEDICAL CLINIC INC
Active
Parent organization
LA LIBERTAD MEDICAL CLINIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA LIBERTAD MEDICAL CLINIC INC
Authorized official
MR. RICARDO E CHAMBI MD (PRESIDENT)
(323) 585-2486
Entity
Organization
Contact information
Practice address
8427 LONG BEACH BLVD, SOUTH GATE, CA 90280-2014
(323) 585-2486
(562) 943-7518
Mailing address
PO BOX 3429, HUNTINGTON PARK, CA 90255-2329
(323) 585-2486
(562) 943-7518
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101040
—
CA
Enumeration date
02/04/2008
Last updated
03/09/2016
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