LA VIDA MULTI-SPECIALTY MEDICAL GROUP
NPI 1093860298
Specialist in Hawthorne, CA
- Organization
- Specialist
About LA VIDA MULTI-SPECIALTY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for La Vida Multi-specialty Medical Group, a provider established in Hawthorne, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1093860298 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number 051633 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. La Vida Multi-specialty Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Christopher C Chidi Md (President)
- NPI
- 1093860298 Verify this NPI
- Provider Name
- LA VIDA MULTI-SPECIALTY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 4455 W 117TH ST HAWTHORNE, CA 90250
- Location Phone
- (310) 645-0444
- Location Fax
- (310) 216-7336
- Mailing Address
- DEPARTMENT NO 2834 LOS ANGELES, CA 90084
- Mailing Phone
- (310) 214-8677
- Mailing Fax
- (310) 921-1718
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 051633
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0088191 | MEDICAID (05) | CA |
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Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
HAWTHORNE, CA 90250
HAWTHORNE, CA 90250
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093860298, enumerated as an "organization" on January 25, 2007.
The provider is located at 4455 W 117TH ST HAWTHORNE, CA 90250 and the phone number is (310) 645-0444.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
