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Organization

LA LIBERTAD MEDICAL CLINIC INC

Active
Other names
RICARDO E CHAMBI MD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO E CHAMBI MD (PRESIDENT)
(323) 585-1056
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A45384
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A453841
CA
05
GR0101040
CA
Enumeration date
01/18/2007
Last updated
09/24/2016
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