Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nueva Vida Medical Inc

Organization Family Medicine Physician · NPI 1316017809

Nueva Vida Medical Inc provides Family Medicine Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1725 Beverly Blvd Ste 103
Los Angeles, CA 90026-5401
Phone: (213) 484-6444
Fax: (213) 484-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A54280 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A54280 (CA)

Record details

NPI number1316017809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Issam Khafaja — President · (213) 484-6444
NPI enumeratedNovember 9, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1725 Beverly Blvd, Ste 103, Los Angeles, CA 90026-5401

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