Organization
DE VIDA MEDICAL CLINIC INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EFREN SHAHABEDDIN MD (PRESIDENT)
(818) 482-9967
Entity
Organization
Contact information
Practice address
3710 E CESAR E CHAVEZ AVE FL 2, LOS ANGELES, CA 90063-2219
(323) 406-2029
(323) 406-2042
Mailing address
3710 E CESAR E CHAVEZ AVE FL 2, LOS ANGELES, CA 90063-2219
(323) 406-2029
(323) 406-2042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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