NPIMap

Organization Active NPI

La Libertad Medical Clinic Inc

  • General Practice Physician
  • Huntington Park, CA
National Provider Identifier
1245655240
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LA LIBERTAD MEDICAL CLINIC INC
Practice address
7900 Pacific Blvd
Huntington Park, CA 90255-6662
Phone
(323) 277-9455
Fax
(323) 277-9450
NPI assigned
Feb 27, 2014
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
LA LIBERTAD MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Ricardo E Chambi, MD
Title
Director
Phone
(323) 277-9455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X CA Primary

Addresses

Primary practice location

7900 Pacific Blvd
Huntington Park, CA 90255-6662

Mailing address

PO Box 3429
Huntington Park, CA 90255-2329
Phone (323) 277-9455

National Provider Directory

National Provider Directory
Tax ID family
La Libertad Medical Clinic3 organizations share this tax ID, including this one
Part of
La Libertad Medical Clinic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1245655240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3429",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552329",
            "telephone_number": "323-277-9455",
            "fax_number": "323-277-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556662",
            "telephone_number": "323-277-9455",
            "fax_number": "323-277-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LIBERTAD MEDICAL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA LIBERTAD MEDICAL CLINIC",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "CHAMBI",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-277-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.