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NUEVA VIDA MEDICAL INC.
NPI 1316017809
General Practice in Los Angeles, CA

Active since November 09, 2006
1725 BEVERLY BLVD, STE 103, LOS ANGELES, CA 90026(213) 484-6444(213) 484-6555 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Nueva Vida Medical Inc. NPPES

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

NUEVA VIDA MEDICAL INC. (NPI 1316017809) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since November 2006. The organization lists Issam Khafaja, President, as its authorized official.

NPPES Registry Identity

NPI1316017809
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNUEVA VIDA MEDICAL INC.
Location Address1725 BEVERLY BLVD, STE 103Los Angeles, CA 90026-5401
Mailing Address1725 Beverly Blvd, Ste 103Los Angeles, CA 90026-5401 · (213) 484-6444 · Fax (213) 484-6555
Phone(213) 484-6444
Fax(213) 484-6555
Organization SubpartNo
Authorized OfficialIssam KhafajaPresident · (213) 484-6444
Enumeration DateNovember 9, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1316017809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A54280
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License A54280 (CA)
1725 BEVERLY BLVD, Los Angeles, CA 90026
Open in Google Maps ↗

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

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

RAFAEL ADON MUNOZ PT, DPT, CSCS
Physical Therapist
1725 BEVERLY BLVD, 102
LOS ANGELES, CA 90026
Los Angeles County (213) 632-0256

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 Nueva Vida Medical Inc.'s NPI number?

The NPI number for Nueva Vida Medical Inc. is 1316017809. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Nueva Vida Medical Inc. located?

Nueva Vida Medical Inc. is located at 1725 Beverly Blvd Ste 103, Los Angeles, CA 90026. The listed phone number is (213) 484-6444.

What is Nueva Vida Medical Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Nueva Vida Medical Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.