1. Home
  2. Directory
  3. California
  4. South Gate
  5. General Practice
  6. NPI Profile

LA LIBERTAD MEDICAL CLINIC INC
NPI 1073791828
General Practice in South Gate, CA

Active since February 04, 2008CLIA 05D0918737 · Waiver
8427 LONG BEACH BLVD, SOUTH GATE, CA 90280(323) 585-2486(562) 943-7518 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Libertad Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA LIBERTAD MEDICAL CLINIC INC (NPI 1073791828) is a healthcare organization registered as a general practice in South Gate, California and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 23, 2026 and lists Ricardo E Chambi, President, as its authorized official.

NPPES Registry Identity

NPI1073791828
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLA LIBERTAD MEDICAL CLINIC INC
Location Address8427 LONG BEACH BLVDSouth Gate, CA 90280-2014
Mailing AddressPo Box 3429Huntington Park, CA 90255-2329 · (323) 585-2486 · Fax (562) 943-7518
Phone(323) 585-2486
Fax(562) 943-7518
Organization SubpartYes
Authorized OfficialRicardo E ChambiPresident · (323) 585-2486
Enumeration DateFebruary 4, 2008
Last NPPES UpdateMarch 9, 2016
✔ NPI 1073791828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8427 LONG BEACH BLVD, South Gate, CA 90280
Open in Google Maps ↗

Other Identifiers 2

Medicare PINCB246929CA
MedicaidGR0101040CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0918737

La Libertad Medical Clinic · South Gate, CA
Active · expires Dec 23, 2026
CLIA Number05D0918737
Laboratory TypePhysician Office
Certificate Effective DateDecember 24, 2024
Certificate Expiration DateDecember 23, 2026
Laboratory DirectorRicardo E. Chambi
Laboratory Phone(213) 585-1056
Laboratory LocationLa Libertad Medical Clinic8225 Long Beach Blvd, South Gate, CA 90280
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL REY PALLAN PA
Physician Assistant (Medical)
8427 LONG BEACH BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 585-2486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Libertad Medical Clinic Inc's NPI number?

The NPI number for La Libertad Medical Clinic Inc is 1073791828. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is La Libertad Medical Clinic Inc located?

La Libertad Medical Clinic Inc is located at 8427 Long Beach Blvd, South Gate, CA 90280. The listed phone number is (323) 585-2486.

What is La Libertad Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does La Libertad Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0918737) is associated with this NPI, valid through December 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Libertad Medical Clinic Inc was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.