Organization · Type 2 NPI
La Vida Multi-Specialty Medical Group
Specialist · San Pedro, CA
NPI number
1285789487
Active
Practice location
605 W. 6th Street
San Pedro, CA 90731
Fax (310) 241-0719
Mailing address
Department No 2834
Los Angeles, CA 90260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 476247-04 (CA) |
Specialist: 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.
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About NPI 1285789487
La Vida Multi-Specialty Medical Group's National Provider Identifier is 1285789487, issued on Jan 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Pedro, CA. The record was last updated on Aug 22, 2020.