La Libertad Medical Clinic Inc

LBN: La Libertad Medical Clinic Inc
La Libertad Medical Clinic Inc is an health care organization with primary practice located at 8427 Long Beach Blvd , South Gate CA 90280-2014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. La Libertad Medical Clinic Inc can be contacted via phone (323) 585-2486, or through Chambi, Ricardo E via phone (323) 585-2486.

Contact Information

Primary practice address
8427 Long Beach Blvd South Gate CA 90280-2014
Phone: (323) 585-2486
Fax: (562) 943-7518
Website:
Map and Directions
Authorized official contact:
Name: Chambi, Ricardo E Doctor of Medicine (MD)
Phone: (323) 585-2486

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X California

Profile Details

NPI number 1073791828
LBN Legal business name La Libertad Medical Clinic Inc
DBA Doing business as
Authorized official Chambi, Ricardo E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 4th, 2008
Last updated Mar 9th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073791828 NPPES
California MEDICAID GR0101040

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