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La Vida Multi-specialty Medical Group
Specialist in Culver City, California
NPI 1730234386

La Vida Multi-specialty Medical Group is a Specialist based in Los Angeles, CA. La Vida Multi-specialty Medical Group practices in Culver City, CA. The NPI Number for La Vida Multi-specialty Medical Group is 1730234386 and holds a License No. (California).

The current practice location address for La Vida Multi-specialty Medical Group is 5800 Hannum Ave, Culver City, CA and can be reached out via phone at 310-645-0444 and via fax at 310-216-7336.

Location: 5800 Hannum Ave, Culver City, CA, 90084-2826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730234386
Provider Name
La Vida Multi-specialty Medical Group
Credential
Provider Entity Type
Organization
Address
5800 Hannum Ave, Culver City, CA, 90084-2826
Phone Number
310-645-0444
Fax Number
310-216-7336
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0088191 05 CA
institution
Provider Business Practice Location Address Details
Address
5800 Hannum Ave
City
Culver City
State
California
Zip
90230
Phone Number
310-645-0444
Fax Number
310-216-7336
person
Provider Business Mailing Address Details
Address
5800 Hannum Ave
City
Culver City
State
California
Zip
90230
Phone Number
310-645-0444
Fax Number
310-216-7336
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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