| NPI | 1073791828 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2008-02-04 |
| Last Updated | 2016-03-09 |
| Authorized Official | Ricardo Chambi PRESIDENT Phone: 3235852486 |
| Mailing Address | Po Box 3429 Huntington Park, CA 90255-2329 United States Phone: (323) 585-2486 | Fax: (562) 943-7518 📍 View Map |
| Primary Practice Address | 8427 Long Beach Blvd South Gate, CA 90280-2014 United States Phone: (323) 585-2486 | Fax: (562) 943-7518 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | GR0101040 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208D00000X – General Practice | CA | — |
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About NPI 1073791828
La Libertad Medical Clinic Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073791828. The primary specialty listed is General Practice. The organization is located in South Gate, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-02-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073791828?
NPI 1073791828 belongs to La Libertad Medical Clinic Inc, a General Practice in South Gate, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073791828 active?
The current status of NPI 1073791828 in the NPPES registry is Active. The record was last updated on 2016-03-09.
What specialty is NPI 1073791828?
NPI 1073791828 is classified under the taxonomy General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073791828?
You can verify NPI 1073791828 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073791828?
The primary practice address on file for NPI 1073791828 is 8427 Long Beach Blvd, South Gate, CA 90280-2014. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073791828 issued?
NPI 1073791828 was first issued (enumerated) on 2008-02-04. The NPPES record was last updated on 2016-03-09.
Practice Location Map
La Libertad Medical Clinic Inc is located at 8427 Long Beach Blvd, South Gate, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as La Libertad Medical Clinic Inc. All records sourced from the CMS NPPES registry.