LA VIDA MULTISPECIALTY MEDICAL GROUP INC NPI 1861522708

NPI Information

LA VIDA MULTISPECIALTY MEDICAL GROUP INC is a specialist in Hawthorne, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LA VIDA MULTISPECIALTY MEDICAL GROUP INC NPI is 1861522708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4455 W 117TH ST
HAWTHORNE, CA
ZIP 90250-241
Phone: (310) 214-8677
Fax: (310) 921-1718

The provider's authorized official is Christopher C Chidi .
The authorized official title is President and has the following contact phone number (310) 214-8677.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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