Organization · Type 2 NPI
La Libertad Medical Clinic Inc
General Practice Physician · South Gate, CA
NPI number
1295887024
Active
Practice location
8225 Long Beach Blvd, Suite C
South Gate, CA 90280-2010
Mailing address
PO Box 3429
Huntington Park, CA 90255-2329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A45384 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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About NPI 1295887024
La Libertad Medical Clinic Inc's National Provider Identifier is 1295887024, issued on Jan 18, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in South Gate, CA. The record was last updated on Sep 24, 2016.