| NPI | 1528101847 |
|---|---|
| Doing Business As | CALIFORNIA LIBERTY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | THANH N TRAN President Director 323-564-5805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7502) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A75777) |
| 208000000X Pediatrics (Licence: CA A40326) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |