Liberty Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3416L0300X Issued in CA

Legal business name

LIBERTY AMBULANCE LLC

Practice address

9441 Washburn Rd
Downey, CA 90242-2912

Phone

(858) 653-4520

Fax

(858) 653-4537

NPI assigned

Jul 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Manny Diaz-Conti Jr., CPA

Title

Chief Financial Officer

Phone

(858) 653-4520

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1033373394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 CANDIDA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264536",
            "telephone_number": "858-653-4520",
            "fax_number": "858-653-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 WASHBURN RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422912",
            "telephone_number": "858-653-4520",
            "fax_number": "858-653-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ-CONTI",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-653-4520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CA",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Leyva
• Hong Linda Li, OTR/L
• Mai Li
• Matthew Zhi Li, NP - BC
• Alvin Liao
• Joshua Mark Lichtman, D.O.
• Nia Lieu
• William Lieu, PHARM.D.
• Lifemedicalhomecareservices,Inc.
• Ligia I. Blanco DDS Inc.

• Land Ambulance in Downey, CA
• Providers in Downey, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.