Nueva Vida Medical Inc. in Los Angeles - Family Medicine
Nueva Vida Medical Inc. - NPI 1316017809
Nueva Vida Medical Inc. is a Family Medicine in Los Angeles, California. Nueva Vida Medical Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Nueva Vida Medical Inc. is 1316017809. The last update date is 2020-08-22.
Nueva Vida Medical Inc.'s current location address is 1725 Beverly Blvd, Los Angeles, California. You can contact this provider via phone number 2134846444 and fax number 2134846555. The mailing address for Nueva Vida Medical Inc. is 1725 Beverly Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nueva Vida Medical Inc. |
|---|---|
| Address | 1725 Beverly Blvd, Los Angeles, California |
| Phone Number | 2134846444 |
| Fax Number | 2134846555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khafaja Issam |
| Credentials | M.D. |
| Telephone Number | 2134846444 |
NPI Number Detail
| NPI Number | 1316017809 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1725 Beverly Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900265401 |
| Phone Number | 2134846444 |
| Fax Number | 2134846555 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A54280 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code issued to Nueva Vida Medical Inc. by the Centers for Medicare & Medicaid Services?
The Nueva Vida Medical Inc. has been assigned the NPI (National Provider Identifier) 1316017809 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Nueva Vida Medical Inc.?
The Nueva Vida Medical Inc. is situated at 1725 Beverly Blvd, in the city of Los Angeles, state of CA, with the zip code 900265401.
What is Nueva Vida Medical Inc.'s area of expertise and its corresponding taxonomy classification?
The Nueva Vida Medical Inc.'s field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316017809 to Nueva Vida Medical Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1316017809 to Nueva Vida Medical Inc. on 2006-11-09.
When was the information pertaining to Nueva Vida Medical Inc. most recently updated or revised?
The details related to Nueva Vida Medical Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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