| La Libertad Medical Clinic Inc | |
|
8427 Long Beach Blvd South Gate CA 90280-2014 | |
| (323) 585-2486 | |
| (562) 943-7518 |
| Full Name | La Libertad Medical Clinic Inc |
|---|---|
| Speciality | General Practice |
| Location | 8427 Long Beach Blvd, South Gate, California |
| Authorized Official Name and Position | Ricardo E Chambi (PRESIDENT) |
| Authorized Official Contact | 3235852486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Libertad Medical Clinic Inc Po Box 3429 Huntington Park CA 90255-2329 Ph: (323) 585-2486 | La Libertad Medical Clinic Inc 8427 Long Beach Blvd South Gate CA 90280-2014 Ph: (323) 585-2486 |
| NPI Number | 1073791828 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 03/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073791828 | NPI | - | NPPES |
| GR0101040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Primary |
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