LA LIBERTAD MEDICAL CLINIC INC NPI 1295887024

NPI Information

  • NPI: 1295887024
  • Provider Name: LA LIBERTAD MEDICAL CLINIC INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: RICARDO E CHAMBI MD
  • Address: 8225 LONG BEACH BLVD
    SUITE C
    SOUTH GATE, CA
    ZIP 90280
  • Phone: (323) 585-1056

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NPI Details

LA LIBERTAD MEDICAL CLINIC INC is a general practice in South Gate, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LA LIBERTAD MEDICAL CLINIC INC NPI is 1295887024. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ricardo E Chambi Md.

The provider's business location address is:

8225 LONG BEACH BLVD
SUITE C
SOUTH GATE, CA
ZIP 90280-010
Phone: (323) 585-1056

The provider's authorized official is Ricardo E Chambi .
The authorized official title is President and has the following contact phone number (323) 585-1056.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeA45384CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A453841MEDICAIDCALIFORNIA
2GR0101040MEDICAIDCALIFORNIA
3CB246929MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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