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LA LIBERTAD MEDICAL CLINIC INC
NPI 1245655240
General Practice in Huntington Park, CA

Active since February 27, 2014CLIA 05D2123115 · Waiver
7900 PACIFIC BLVD, HUNTINGTON PARK, CA 90255(323) 277-9455(323) 277-9450 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 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 1245655240) is a healthcare organization registered as a general practice in Huntington Park, California and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Ricardo E Chambi, Director, as its authorized official.

NPPES Registry Identity

NPI1245655240
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLA LIBERTAD MEDICAL CLINIC INC
Location Address7900 PACIFIC BLVDHuntington Park, CA 90255-6662
Mailing AddressPo Box 3429Huntington Park, CA 90255-2329 · (323) 277-9455 · Fax (323) 277-9450
Phone(323) 277-9455
Fax(323) 277-9450
Organization SubpartYesParent: La Libertad Medical Clinic
Authorized OfficialRicardo E ChambiDirector · (323) 277-9455
Enumeration DateFebruary 27, 2014
✔ NPI 1245655240 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
7900 PACIFIC BLVD, Huntington Park, CA 90255
Open in Google Maps ↗

Other Identifiers 1

Medicare PINW18996CA

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 MULTIPLE 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 05D2123115

La Libertad Medical Clinic Inc · Walnut Park, CA
Active · expires Dec 12, 2026
CLIA Number05D2123115
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorRicardo E. Chambi
Laboratory Phone(323) 277-9455
Laboratory LocationLa Libertad Medical Clinic Inc7900 Pacific Blvd Ste C, Walnut Park, CA 90255
CLIA data matches this NPI record on: Name Phone
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.

LA LIBERTAD MEDICAL CLINIC INC.
General Practice
7900 PACIFIC BLVD, SUITE C THRU F
WALNUT PARK, CA 90255
Los Angeles County (323) 277-9455

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 1245655240. It was assigned to this organization in the NPPES registry on February 27, 2014.

Where is La Libertad Medical Clinic Inc located?

La Libertad Medical Clinic Inc is located at 7900 Pacific Blvd, Huntington Park, CA 90255. The listed phone number is (323) 277-9455.

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 05D2123115) is associated with this NPI, valid through December 12, 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 February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.