La Vida Multi-Specialty Medical Group
NPI #1093860298 in Hawthorne, California
Provider Information
- NPI Number
- 1093860298
- Entity Type
- Organization
- Organization Name
- La Vida Multi-Specialty Medical Group
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4455 W 117TH ST
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-2241
- Phone
- (310) 645-0444
Authorized Official
- Name
- DR. CHRISTOPHER C CHIDI, MD
- Title
- PRESIDENT
- Phone
- (310) 214-8677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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