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Organization

LA LIBERTAD MEDICAL CLINIC INC

Active
Parent organization
LA LIBERTAD MEDICAL CLINIC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
CA

Other

Enumeration date
02/27/2014
Last updated
02/27/2014
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