La Vida Multi-Specialty Medical Group in Hawthorne - Specialist
La Vida Multi-Specialty Medical Group - NPI 1093860298
La Vida Multi-Specialty Medical Group is a Specialist in Hawthorne, California. La Vida Multi-Specialty Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for La Vida Multi-Specialty Medical Group is 1093860298. The last update date is 2020-08-22.
La Vida Multi-Specialty Medical Group's current location address is 4455 W 117th St, Hawthorne, California. You can contact this provider via phone number 3106450444 and fax number 3102167336. The mailing address for La Vida Multi-Specialty Medical Group is 4455 W 117th St, Hawthorne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Vida Multi-Specialty Medical Group |
|---|---|
| Address | 4455 W 117th St, Hawthorne, California |
| Phone Number | 3106450444 |
| Fax Number | 3102167336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chidi C Christopher |
| Credentials | MD |
| Telephone Number | 3102148677 |
NPI Number Detail
| NPI Number | 1093860298 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4455 W 117th St |
|---|---|
| City | Hawthorne |
| State | California (CA) |
| Post Code | 902502241 |
| Phone Number | 3106450444 |
| Fax Number | 3102167336 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 51633 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0088191 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to La Vida Multi-Specialty Medical Group by the Centers for Medicare & Medicaid Services?
The La Vida Multi-Specialty Medical Group has been issued the NPI (National Provider Identifier) 1093860298. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where La Vida Multi-Specialty Medical Group's facilities are situated?
The facilities of La Vida Multi-Specialty Medical Group are physically located at the following address: 4455 W 117Th St, Hawthorne, CA, 902502241.
What is La Vida Multi-Specialty Medical Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for La Vida Multi-Specialty Medical Group is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093860298 to La Vida Multi-Specialty Medical Group?
The Centers for Medicare & Medicaid Services assigned the 1093860298 to La Vida Multi-Specialty Medical Group on 2007-01-25.
When was the information regarding La Vida Multi-Specialty Medical Group, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to La Vida Multi-Specialty Medical Group, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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