La Vida Multi-Specialty Medical Group

LBN: La Vida Multi-Specialty Medical Group
La Vida Multi-Specialty Medical Group is an health care organization with primary practice located at 605 W. 6Th Street , San Pedro CA 90731. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. La Vida Multi-Specialty Medical Group can be contacted via phone (310) 241-0330, or through Chidi, Christopher C via phone (310) 214-8677.

Contact Information

Primary practice address
605 W. 6Th Street San Pedro CA 90731
Phone: (310) 241-0330
Fax: (310) 241-0719
Website:
Map and Directions
Authorized official contact:
Name: Chidi, Christopher C Doctor of Medicine (MD)
Phone: (310) 214-8677

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 476247-04 California

Profile Details

NPI number 1285789487
LBN Legal business name La Vida Multi-Specialty Medical Group
DBA Doing business as
Authorized official Chidi, Christopher C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285789487 NPPES
California MEDICAID GR0088194

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