Organization · Type 2 NPI
Nueva Vida Medical Inc.
General Practice Physician · Los Angeles, CA
NPI number
1316017809
Active
Practice location
1725 Beverly Blvd, Ste 103
Los Angeles, CA 90026-5401
Fax (213) 484-6555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | A54280 (CA) |
| General Practice Physician Primary | 208D00000X | A54280 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1316017809
Nueva Vida Medical Inc.'s National Provider Identifier is 1316017809, issued on Nov 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.