institution
La Libertad Medical Clinic Inc
General Practice Physician in South Gate, California
NPI 1295887024

La Libertad Medical Clinic Inc is a General Practice Physician based in Huntington Park, CA. La Libertad Medical Clinic Inc practices in South Gate, CA. The NPI Number for La Libertad Medical Clinic Inc is 1295887024 and holds a License No. A45384 (California).

The current practice location address for La Libertad Medical Clinic Inc is 8225 Long Beach Blvd, South Gate, CA and can be reached out via phone at 323-585-1056.

Location: 8225 Long Beach Blvd, South Gate, CA, 90255-2329
institution
Provider Profile Details
NPI Number
1295887024
Provider Name
La Libertad Medical Clinic Inc
Credential
Provider Entity Type
Organization
Address
8225 Long Beach Blvd, South Gate, CA, 90255-2329
Phone Number
323-585-1056
Fax Number
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0101040 05 CA
00A453841 05 CA
institution
Provider Business Practice Location Address Details
Address
8225 Long Beach Blvd
City
State
Zip
90280-2010
Phone Number
323-585-1056
Fax Number
person
Provider Business Mailing Address Details
Address
8225 Long Beach Blvd
City
State
Zip
90280-2010
Phone Number
323-585-1056
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A45384 (California)
Definition
Definition to come...
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