LIBERTY MEDICAL GROUP – NPI #1851753321
General Practice

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

LIBERTY MEDICAL GROUP is a provider located in RANCHO CUCAMONGA, CA. NPPES has assigned the NPI number 1851753321 to LIBERTY MEDICAL GROUP on March 24, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIBERTY MEDICAL GROUP” is a dba name, the actual legal business name for this organization is LIBERTY MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Feb 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY MEDICAL GROUP below.

NPI Profile for
LIBERTY MEDICAL GROUP, INC.

NPI Number
1851753321
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBERTY MEDICAL GROUP, INC.
Doing Business As (dba): LIBERTY MEDICAL GROUP
Primary location
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
Phone: (909) 944-1806 Fax: (909) 466-6593
Organization Subpart
No
Authorized Official
SATISH LAL
CEO
Phone: (909) 944-1806
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
CA G76640

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.