Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De Vida Medical Clinic Inc a Medical Corporation

Organization Family Medicine Physician · NPI 1861321150

De Vida Medical Clinic Inc a Medical Corporation is a Family Medicine Physician in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3710 E Cesar E Chavez Ave Fl 2
Los Angeles, CA 90063-2219
Phone: (323) 406-2029
Fax: (323) 406-2042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1861321150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Efren Shahabeddin — President · (818) 482-9967
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
Mailing address3710 E Cesar E Chavez Ave Fl 2, Los Angeles, CA 90063-2219

Other providers in Los Angeles