Organization · Type 2 NPI
La Vida Multi-Specialty Medical Group
Specialist · Gardena, CA
NPI number
1629123823
Active
Practice location
1045 Redondo Beach Blvd
Gardena, CA 90247
Fax (310) 324-7956
Mailing address
Department No 2834
Los Angeles, CA 90084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 18072 (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 1629123823
La Vida Multi-Specialty Medical Group's National Provider Identifier is 1629123823, issued on Jan 25, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gardena, CA. The record was last updated on Aug 22, 2020.