LA VIDA MULTI-SPECIALTY MEDICAL GROUP
NPI 1093860298
Specialist in Hawthorne, CA

Q: What is La Vida Multi-Specialty Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 25, 2007

4455 W 117TH ST, HAWTHORNE, CA 90250(310) 645-0444(310) 216-7336 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About La Vida Multi-specialty Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA VIDA MULTI-SPECIALTY MEDICAL GROUP (NPI 1093860298) is a healthcare organization registered as a specialist in Hawthorne, California and active in the NPI registry since January 2007. The organization lists Christopher C Chidi, President, as its authorized official.

NPPES Registry Identity

NPI1093860298

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLA VIDA MULTI-SPECIALTY MEDICAL GROUP

Location Address4455 W 117TH STHawthorne, CA 90250-2241

Mailing AddressDepartment No 2834Los Angeles, CA 90084 · (310) 214-8677 · Fax (310) 921-1718

Phone(310) 645-0444

Fax(310) 216-7336

Organization SubpartNo

Authorized OfficialChristopher C ChidiPresident · (310) 214-8677

Enumeration DateJanuary 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1093860298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 051633

Definition

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.

4455 W 117TH ST, Hawthorne, CA 90250

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Other Identifiers 1

MedicaidGR0088191CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTATE REHABILITATION AND THERAPY CENTER, INC.

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

4455 W 117TH ST, SUITE 102
HAWTHORNE, CA 90250

Los Angeles County (310) 978-8664

FOX HILLS PHARMACY INC

Pharmacy (Community/Retail Pharmacy)

4455 W 117TH ST, STE 101
HAWTHORNE, CA 90250

Los Angeles County (310) 649-3774

PATRICK KNISLEY M.A., SLP

Speech-Language Pathologist

4455 W 117TH ST
HAWTHORNE, CA 90250

Los Angeles County (310) 838-1552

DR. RACHEL LYNN ECKERLING OTD, OTR/L

Occupational Therapist

4455 W 117TH ST
HAWTHORNE, CA 90250

Los Angeles County (310) 838-1552

KAREN ELIZABETH COURTNEY R.N.

Registered Nurse

4455 W 117TH ST
HAWTHORNE, CA 90250

Los Angeles County (310) 645-0444

MAYA ELENA WILLE M.D.

Pediatrics

4455 W 117TH ST, SUITE 300
HAWTHORNE, CA 90250

Los Angeles County (310) 645-0444

TASHA DUTIL OTR/L

Occupational Therapist

4455 W 117TH ST
HAWTHORNE, CA 90250

Los Angeles County (310) 838-1552

WOMEN'S LIFECYCLE MEDICAL GROUP

Specialist

4455 W 117TH ST, SUITE 506
HAWTHORNE, CA 90250

Los Angeles County (310) 676-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Vida Multi-Specialty Medical Group's NPI number?

The NPI number for La Vida Multi-Specialty Medical Group is 1093860298. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is La Vida Multi-Specialty Medical Group located?

La Vida Multi-Specialty Medical Group is located at 4455 W 117th St, Hawthorne, CA 90250. The listed phone number is (310) 645-0444.

What is La Vida Multi-Specialty Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for La Vida Multi-Specialty Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.