La Vida Multi-Specialty Medical Group
La Vida Multi-Specialty Medical Group provides Specialist services in Hawthorne, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
4455 W 117th StHawthorne, CA 90250-2241
Phone: (310) 645-0444
Fax: (310) 216-7336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 051633 (CA) |
|---|
Record details
| NPI number | 1093860298 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Chidi — President · (310) 214-8677 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Department No 2834, Los Angeles, CA 90084 |
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