Provider Demographics
NPI:1225232325
Name:RICARDO E CHAMBI MD
Entity Type:Organization
Organization Name:RICARDO E CHAMBI MD
Other - Org Name:CLINICA MEDICA DE LA CARIDAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-773-3137
Mailing Address - Street 1:4347 SLAUSON AVE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90270-2837
Mailing Address - Country:US
Mailing Address - Phone:323-773-3137
Mailing Address - Fax:323-773-2093
Practice Address - Street 1:4347 SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90270-2837
Practice Address - Country:US
Practice Address - Phone:323-773-3137
Practice Address - Fax:323-773-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-13
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45384208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45384CMedicare ID - Type UnspecifiedMEDICARE
CAF03284Medicare UPIN