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

Nueva Vida Medical Inc

Organization Family Medicine Physician · NPI 1316017809

Nueva Vida Medical Inc is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1725 Beverly Blvd Ste 103
Los Angeles, CA 90026-5401
Phone: (213) 484-6444
Fax: (213) 484-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A54280 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A54280 (CA)

Record details

NPI number1316017809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Issam Khafaja — President · (213) 484-6444
NPI enumeratedNovember 9, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1725 Beverly Blvd, Ste 103, Los Angeles, CA 90026-5401

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