| Organization Name: | LA VIDA MULTI-SPECIALTY MEDICAL GROUP |
| NPI Number: | 1376698571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER C CHIDI (PRESIDENT) |
| Mailing Address: | 4161 Redondo Beach Beach Suite 101 Lawndale |
| State: | CA US |
| Postal Code: | 90260 |
| Phone Number: | 3102145436 |
| Fax Number: | 3105421176 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 01443 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy 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. |