Organization
LA VIDA MEDICAL CV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CHIDI (PRESIDENT)
(310) 214-8677
Entity
Organization
Contact information
Practice address
4161 REDONDO BEACH BLVD # 300, LAWNDALE, CA 90260-3306
(310) 214-8677
(310) 921-1716
Mailing address
4161 REDONDO BEACH BLVD # 300, LAWNDALE, CA 90260-3306
(310) 214-8677
(310) 921-1716
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
C3129855
CA
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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