NPI 1851753321

Liberty Medical Group, INC.

Organisation General Practice Physician Rancho Cucamonga, CA

Practice location

Address: 9227 Haven Avenue, Suite 375, Rancho Cucamonga, CA 91730
Phone: (909) 944-1806
Fax: (909) 466-6593
Mailing address: 14071 Peyton Drive, #301, Chino Hills, CA 91709

Authorised official

Name: Satish Lal
Title: Ceo
Phone: (909) 944-1806

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence G76640 (CA)

Other General Practice providers in California →

Registry record

NPI: 1851753321
Entity type: Organization
NPI issued: 24 Mar 2016
Record last updated: 19 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.