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

TaxonomyCodeLicense
Specialist Primary 174400000X476247-04 (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.