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
RICARDO E CHAMBI MD (DIRECTOR)
(323) 585-1056
Entity
Organization
Contact information
Practice address
7900 PACIFIC BLVD, SUITE C THRU F, WALNUT PARK, CA 90255-6662
(323) 277-9455
(562) 943-7518
Mailing address
PO BOX 3429, HUNTINGTON PARK, CA 90255-2329
(323) 277-9455
(562) 943-7518
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
CA
Other
Enumeration date
01/28/2015
Last updated
09/24/2016
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