LA VIDA MULTI-SPECIALTY MEDICAL GROUP NPI 1629123823

NPI Information

  • NPI: 1629123823
  • Provider Name: LA VIDA MULTI-SPECIALTY MEDICAL GROUP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1045 REDONDO BEACH BLVD
    GARDENA, CA
    ZIP 90247
  • Phone: (310) 352-4170

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NPI Details

LA VIDA MULTI-SPECIALTY MEDICAL GROUP is a specialist in Gardena, 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 MULTI-SPECIALTY MEDICAL GROUP NPI is 1629123823. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1045 REDONDO BEACH BLVD
GARDENA, CA
ZIP 90247
Phone: (310) 352-4170
Fax: (310) 324-7956

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 1/25/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist18072CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0088193MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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