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La Vida Multispecialty Medical Group Inc
Specialist in Hawthorne, California
NPI 1861522708

La Vida Multispecialty Medical Group Inc is a Specialist based in Los Angeles, CA. La Vida Multispecialty Medical Group Inc practices in Hawthorne, CA. The NPI Number for La Vida Multispecialty Medical Group Inc is 1861522708 and holds a License No. 22234 (California).

The current practice location address for La Vida Multispecialty Medical Group Inc is 4455 W 117Th St, Hawthorne, CA and can be reached out via phone at 310-214-8677 and via fax at 310-921-1718.

Location: 4455 W 117Th St, Hawthorne, CA, 90084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861522708
Provider Name
La Vida Multispecialty Medical Group Inc
Credential
Provider Entity Type
Organization
Address
4455 W 117Th St, Hawthorne, CA, 90084
Phone Number
310-214-8677
Fax Number
310-921-1718
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4455 W 117Th St
City
Hawthorne
State
California
Zip
90250-2241
Phone Number
310-214-8677
Fax Number
310-921-1718
person
Provider Business Mailing Address Details
Address
4455 W 117Th St
City
Hawthorne
State
California
Zip
90250-2241
Phone Number
310-214-8677
Fax Number
310-921-1718
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
22234 (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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