LA VIDA MULTI-SPECIALTY MEDICAL GROUP
NPI 1629123823
Specialist in Gardena, 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

1045 REDONDO BEACH BLVD, GARDENA, CA 90247(310) 352-4170(310) 324-7956 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 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 1629123823) is a healthcare organization registered as a specialist in Gardena, California and active in the NPI registry since January 2007. The organization lists Christopher C Chidi, President, as its authorized official.

NPPES Registry Identity

NPI1629123823

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLA VIDA MULTI-SPECIALTY MEDICAL GROUP

Location Address1045 REDONDO BEACH BLVDGardena, CA 90247

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

Phone(310) 352-4170

Fax(310) 324-7956

Organization SubpartNo

Authorized OfficialChristopher C ChidiPresident · (310) 214-8677

Enumeration DateJanuary 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629123823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 18072

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.

1045 REDONDO BEACH BLVD, Gardena, CA 90247

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Other Identifiers 1

MedicaidGR0088193CA

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

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 1629123823. 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 1045 Redondo Beach Blvd, Gardena, CA 90247. The listed phone number is (310) 352-4170.

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.