National Provider Identifier Database

LIBERTY MEDICAL GROUP INC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

LIBERTY MEDICAL GROUP, INC.
9227 HAVEN AVENUE, SUITE 375
RANCHO CUCAMONGA, CA91730
Phone: 909-944-1806
Fax: 909-466-6593
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for LIBERTY MEDICAL GROUP, INC.

NPI Number 1851753321
Legal business name
LBN
LIBERTY MEDICAL GROUP, INC.
Authorized official SATISH LAL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/24/2016
Last updated 02/19/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G76640

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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