Southbay Liberty Medical Group INC
Anesthesiology in Westminster, CA. Organization (NPI-2).
NPI number1376349845
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1376349845
- Entity type
- Organization (NPI-2)
- Legal business name
- Southbay Liberty Medical Group INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2025
- Certification date
- Feb 24, 2025
- Last updated
- Feb 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
14571 Magnolia St Ste 107Westminster, CA 92683-5575
Phone 714-903-9039 · Fax 714-903-9439
Mailing address
5 Holland Ste 101Irvine, CA 92618-2568
Phone 949-588-2190 · Fax 949-588-2199
Other practice locations
16543 Carmenita Rd
Cerritos, CA 90703-2218
Cerritos, CA 90703-2218
Phone 562-281-8030
Authorized official
Huan Nguyen
Owner
9495882190
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