California Liberty Medical Group
LBN: Thanh N Tran A Prof Corp
California Liberty Medical Group is an health care organization with primary practice located at 8426 California Ave , South Gate CA 90280. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Thanh N Tran A Prof Corp can be contacted via phone (323) 564-5805, or through Tran, Thanh N via phone (323) 564-5805.
Contact Information
Primary practice address
8426 California Ave
South Gate CA 90280
Phone: (323) 564-5805
Fax: (323) 564-1670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A7502 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A75777 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A40326 | California |
Profile Details
| NPI number | 1528101847 |
|---|---|
| LBN Legal business name | Thanh N Tran A Prof Corp |
| DBA Doing business as | California Liberty Medical Group |
| Authorized official | Tran, Thanh N Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528101847 | NPPES |
| Other | GR0055100 | MEDICAL PROVIDER GROUP | |
| MEDICAID | 00A403260 | MEDICAL PROVIDER GROUP |
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