Active NPI
La Vida Medical CV Inc
- Health Maintenance Organization
- Lawndale, CA
National Provider Identifier
1700027471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- C3129855
- Legal business name
- LA VIDA MEDICAL CV INC
- Practice address
- 4161 Redondo Beach Blvd # 300
Lawndale, CA 90260-3306 - Phone
- (310) 214-8677
- Fax
- (310) 921-1716
- NPI assigned
- Mar 10, 2009
- Last updated
- Mar 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Chidi
- Title
- President
- Phone
- (310) 214-8677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | C3129855 | CA | Primary |
Addresses
Primary practice location
4161 Redondo Beach Blvd # 300
Lawndale, CA 90260-3306
Mailing address
4161 Redondo Beach Blvd # 300
Lawndale, CA 90260-3306
Phone (310) 214-8677
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236643200000",
"number": "1700027471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 REDONDO BEACH BLVD # 300",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603306",
"telephone_number": "310-214-8677",
"fax_number": "310-921-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 REDONDO BEACH BLVD # 300",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902603306",
"telephone_number": "310-214-8677",
"fax_number": "310-921-1716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA VIDA MEDICAL CV INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-10",
"last_updated": "2009-03-10",
"status": "A",
"authorized_official_last_name": "CHIDI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-214-8677"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "C3129855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawndale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.