LA VIDA MULTISPECIALTY MEDICAL GROUP INC
NPI 1861522708
Specialist in Hawthorne, CA
- Organization
- Specialist
About LA VIDA MULTISPECIALTY MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for La Vida Multispecialty Medical Group Inc, a provider established in Hawthorne, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1861522708 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number 22234 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. La Vida Multispecialty Medical Group Inc 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
- 1861522708 Verify this NPI
- Provider Name
- LA VIDA MULTISPECIALTY MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 4455 W 117TH ST HAWTHORNE, CA 90250
- Location Phone
- (310) 214-8677
- Location Fax
- (310) 921-1718
- Mailing Address
- DEPARTMENT 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
- 03-07-2007
- 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.
- 22234
- 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.
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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 1861522708, enumerated as an "organization" on March 07, 2007.
The provider is located at 4455 W 117TH ST HAWTHORNE, CA 90250 and the phone number is (310) 214-8677.
Specialist with taxonomy code 174400000X.
