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La Vida Multi-specialty Medical Group
Specialist in Gardena, California
NPI 1629123823

La Vida Multi-specialty Medical Group is a Specialist based in Los Angeles, CA. La Vida Multi-specialty Medical Group practices in Gardena, CA. The NPI Number for La Vida Multi-specialty Medical Group is 1629123823 and holds a License No. 18072 (California).

The current practice location address for La Vida Multi-specialty Medical Group is 1045 Redondo Beach Blvd, Gardena, CA and can be reached out via phone at 310-352-4170 and via fax at 310-324-7956.

Location: 1045 Redondo Beach Blvd, Gardena, CA, 90084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629123823
Provider Name
La Vida Multi-specialty Medical Group
Credential
Provider Entity Type
Organization
Address
1045 Redondo Beach Blvd, Gardena, CA, 90084
Phone Number
310-352-4170
Fax Number
310-324-7956
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0088193 05 CA
institution
Provider Business Practice Location Address Details
Address
1045 Redondo Beach Blvd
City
Gardena
State
California
Zip
90247
Phone Number
310-352-4170
Fax Number
310-324-7956
person
Provider Business Mailing Address Details
Address
1045 Redondo Beach Blvd
City
Gardena
State
California
Zip
90247
Phone Number
310-352-4170
Fax Number
310-324-7956
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
18072 (California)
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.
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