La Vida Multi-Specialty Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

01443 Issued in CA

Legal business name

LA VIDA MULTI-SPECIALTY MEDICAL GROUP

Practice address

4161 Redondo Beach Beach
Suite 101
Lawndale, CA 90260

Phone

(310) 214-5436

Fax

(310) 542-1176

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher C Chidi, MD

Title

President

Phone

(310) 214-8677

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

La Vida Multi-Specialty Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• La Vida Multi-Specialty Medical Group

  • Specialist
  • Culver City, CA
  • NPI 1730234386
  NPD tax ID
• La Vida Multispecialty Medical Group Inc

  • Specialist
  • Hawthorne, CA
  • NPI 1861522708
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376698571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT NO 2834",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90084",
            "telephone_number": "310-214-8677",
            "fax_number": "310-921-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 REDONDO BEACH BEACH",
            "address_2": "SUITE 101",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "90260",
            "telephone_number": "310-214-5436",
            "fax_number": "310-542-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA VIDA MULTI-SPECIALTY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIDI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-214-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "01443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0062720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josh Kwan, FNP-C
• Iryna Kykta, DDS
• L.a. Cada
• La Vida Medical & Ipa
• La Vida Medical CV Inc
• Maria Labrado
• Cheng Hung Lai, LAC LICENSED ACUPUNC
• Karen Landsbaum, MS-CCC SLP
• Haikanarumi Yais Lara, LM, CPM, MSM
• Lauren H. Felipe, O.D. Inc.

• Specialist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.