Liberty Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

48297 Issued in CA

Legal business name

LIBERTY MEDICAL SUPPLY

Practice address

2050 W Chapman Ave
Suite 181
Orange, CA 92868-2647

Phone

(714) 940-9950

Fax

(714) 940-0176

NPI assigned

Feb 26, 2008

Last updated

Mar 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natnael Tassew

Title

General Partner

Phone

(714) 940-9950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1427227107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W CHAPMAN AVE",
            "address_2": "SUITE 181",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682647",
            "telephone_number": "714-940-9950",
            "fax_number": "714-940-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W CHAPMAN AVE",
            "address_2": "SUITE 181",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682647",
            "telephone_number": "714-940-9950",
            "fax_number": "714-940-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "TASSEW",
        "authorized_official_first_name": "NATNAEL",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "714-940-9950"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Liang
• Patricia Pei-CHI Liao
• Pei Yu Peggy Liao, LCSW
• Shu Yuan Liao, M.D.
• Grace Monica Libardo Alvarez, M.S.
• Kaelin Carole Liccardo
• Jeanne Mary Lichman, PH.D.
• Alicia Beth Lichvar, PHARMD
• Beatriz Licon
• Elise Licon

• Durable Medical Equipment & Medical Supplies in Orange, CA
• Providers in Orange, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.